Active NPI
Samir Fahim Eldaief, M.D, FACS
- Surgery Physician
- Lower Gwynedd, PA
National Provider Identifier
1932466703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD030-778-L
- Practice address
- 900 Wharton Circle
Lower Gwynedd, PA 19002 - Phone
- (215) 643-4029
- Fax
- (215) 643-4029
- NPI assigned
- Apr 18, 2012
- Last updated
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD030-778-L | PA | Primary |
Addresses
Primary practice location
900 Wharton Circle
Lower Gwynedd, PA 19002
Mailing address
PO Box 285
Gwynedd Valley
Ambler, PA 19437
Phone (215) 643-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD030-778-L | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1932466703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 285",
"address_2": "GWYNEDD VALLEY",
"city": "AMBLER",
"state": "PA",
"postal_code": "19437",
"telephone_number": "215-643-4029",
"fax_number": "215-643-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WHARTON CIRCLE",
"city": "LOWER GWYNEDD",
"state": "PA",
"postal_code": "19002",
"telephone_number": "215-643-4029",
"fax_number": "215-643-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDAIEF",
"first_name": "SAMIR",
"middle_name": "FAHIM",
"name_prefix": "Dr.",
"credential": "M.D, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD030-778-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lower Gwynedd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.