Active NPIIndividual providerSole proprietor

Mohamed E Elsamra

Nurse Practitioner, Family in Kearny, New Jersey

NPI Number1023819679
Practice location
206 Bergen Ave Ste 207, Kearny, NJ 07032-3387
Fax
—
Last updated
July 22, 2025

Mohamed Elsayed Elsamra is a Nurse Practitioner, Family based in Kearny, NJ. Mohamed Elsayed Elsamra practices in Kearny, NJ. The NPI Number for Mohamed Elsayed Elsamra is 1023819679 and holds a License No. 26NJ15292800 (NJ). The current practice location address for Mohamed Elsayed Elsamra is 206 Bergen Ave Ste 207, Kearny, NJ 07032-3387 and can be reached out via phone at 631-534-7246.

Provider Profile Details

NPI Number
1023819679
Provider Name
Mohamed Elsayed Elsamra
Provider Entity Type
Individual
Gender
Male
Address
206 Bergen Ave Ste 207, Kearny, NJ 07032-3387
Phone Number
631-534-7246
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2025
Last Update Date
July 22, 2025
Certification Date
July 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 Bergen Ave Ste 207
Kearny, NJ 07032-3387
City
Kearny
Zip
07032-3387
Phone Number
631-534-7246
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
13-20 3RD St
Fair Lawn, NJ 07410-1151
City
Fair Lawn
State
NJ
Zip
07410-1151
Phone Number
862-247-3694

License Information

License Number
26NJ15292800
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Kearny, NJ

View all Nurse Practitioner, Family providers in Kearny →

Frequently Asked Questions

What is the NPI number of Mohamed E Elsamra?

The NPI number of Mohamed E Elsamra is 1023819679. It was assigned on March 20, 2025 and is currently active in the NPPES registry.

What is the specialty of Mohamed E Elsamra?

Mohamed E Elsamra is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15292800.

Where does Mohamed E Elsamra practice?

The practice location is 206 Bergen Ave Ste 207, Kearny, NJ 07032-3387. The office can be reached at 631-534-7246 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023819679 directly on the NPPES registry website.

Browse related providers