MEDICARE: WAEL ELKHOLY MD, LAC

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	171100000X	Acupuncturist	000736	NJ
2	207L00000X	Anesthesiology Physician	25MA07057900	NJ
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	25MA07057900	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01033195	OTHER	NJ	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437240298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAEL ELKHOLY MD, LAC

Provider Business Mailing Address
First Line	:	127 GRAYSON DR
Second Line	:
City	:	BELLE MEAD
State	:	NJ
Zip	:	08502-4932
Country	:	US
Telephone Number	:	732-762-6143
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 WHITEHORSE MERCERVILLE RD STE 510
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08619-3800
Country	:	US
Telephone Number	:	732-444-8888
Fax Number	:	732-515-4000

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	02/10/2025

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Directions to “ WAEL ELKHOLY MD, LAC” Practice Location

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