| Islam M Elfayoumi, MD | |
|
350 Boulevard, Passaic, NJ 07055-2840 | |
| (973) 365-4000 | |
| Not Available |
| Full Name | Islam M Elfayoumi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 350 Boulevard, Passaic, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063450591 | NPI | - | NPPES |
| 0197769 | Medicaid | NJ | |
| 275330800 | Medicaid | FL | |
| 52550 | Other | FL | BCBS |
| P00471993 | Other | FL | RR MEDICARE |
| P00765998 | Other | PA | RR MEDICARE |
| P00829446 | Other | NJ | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME95068 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 25MA08506700 (New Jersey) | Primary |
| Entity Name | House Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457377806 PECOS PAC ID: 7517944366 Enrollment ID: O20040630000748 |
| Entity Name | Optum Medical Care Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Islam M Elfayoumi, MD 405 Lincoln St, Carlstadt, NJ 07072-1414 Ph: (732) 986-4965 | Islam M Elfayoumi, MD 350 Boulevard, Passaic, NJ 07055-2840 Ph: (973) 365-4000 |
Mr. Ryan Murray, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Passaic Ave, Passaic, NJ 07055 Phone: 973-928-2167 | |
Mina Aknouk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 484-965-9566 Fax: 484-965-9567 | |
Dr. Kunal Brahmbhatt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 293 Passaic St, Passaic, NJ 07055 Phone: 973-916-0002 Fax: 973-916-0027 | |
Milan D Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 | |
Hayat Lakluk, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 | |
Dr. Cheryl Ann Ziemba, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 394 Broadway Ste 100, Passaic, NJ 07055 Phone: 973-572-1035 Fax: 973-547-7872 |