DR. LAMA EL ZEIN M.D
NPI 1003058074
Family Medicine in Edison, NJ
About Dr. Lama El Zein M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAMA EL ZEIN M.D (NPI 1003058074) is an individual family medicine provider in Edison, New Jersey, licensed in New Jersey (25MA09669700) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lama El Zein M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lama El Zein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staten Island, NY 10301
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDISON, NJ 08820
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lama El Zein's NPI number?
The NPI number for Lama El Zein is 1003058074. It was assigned to this individual provider in the NPPES registry on April 6, 2009.
Where is Lama El Zein located?
Lama El Zein practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7487.
What is Lama El Zein's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lama El Zein enrolled in Medicare?
Yes. Lama El Zein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lama El Zein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lama El Zein reassigns Medicare benefits to 2 organizations: Advantagecare Physicians PC (Staten Island, NY) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lama El Zein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lama El Zein accept?
Health plans from Oscar Health list Lama El Zein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lama El Zein affiliated with any hospitals?
According to CMS data, Lama El Zein is affiliated with Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Lama El Zein was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lama El Zein, M.D · NPI 1003058074
Family Medicine physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since April 6, 2009.
## Identity
- **NPI:** 1003058074 (Entity type: Individual)
- **Enumerated:** April 6, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA09669700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 JAMES ST, Edison, NJ 08820-3947
- **Phone:** (732) 321-7487 · **Fax:** (732) 906-4927
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advantagecare Physicians PC (NPI 1063954113, Staten Island, NY); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003058074) · Data from the CMS NPPES public registry.