Healthcare Provider Details

I. General information

NPI: 1447786272
Provider Name (Legal Business Name): KAMAL M AMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

833 CHESTNUT ST STE 220
PHILADELPHIA PA
19107-4405
US

V. Phone/Fax

Practice location:
  • Phone: 732-897-2770
  • Fax: 732-897-3970
Mailing address:
  • Phone: 215-955-8465
  • Fax: 215-955-2516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD467945
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA11521800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: