MEDICARE: ELIE JOSEPH EL-CHARABATY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	25MA0993400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	06331425	OTHER		ECFMG #
3	A400070307	OTHER	NY	PTAN

General Provider Information

NPI Number	:	1164643490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIE JOSEPH EL-CHARABATY MD

Provider Business Mailing Address
First Line	:	20 HOSPITAL DR STE 18
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6434
Country	:	US
Telephone Number	:	732-569-6166
Fax Number	:	888-225-3365

Provider Business Practice Location Address
First Line	:	20 HOSPITAL DR STE 18
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6434
Country	:	US
Telephone Number	:	732-569-6166
Fax Number	:	888-225-3365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	01/22/2026

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