MOHAMED ELSAYED ELSAMRA
NPI 1023819679
Nurse Practitioner - Family in Kearny, NJ

Active since March 20, 2025PECOS EnrolledAccepts Medicare Assignment
206 BERGEN AVE STE 207, KEARNY, NJ 07032(631) 534-7246 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2025, Mar 20, 2025 (2 updates tracked since 2025).

About Mohamed Elsayed Elsamra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMED ELSAYED ELSAMRA (NPI 1023819679) is an individual family provider in Kearny, New Jersey, licensed in New Jersey (26NJ15292800) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023819679
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMOHAMED ELSAYED ELSAMRA
Location Address206 BERGEN AVE STE 207Kearny, NJ 07032-3387
Mailing Address13-20 3rd StFair Lawn, NJ 07410-1151 · (862) 247-3694
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2025
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1023819679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15292800
206 BERGEN AVE STE 207, Kearny, NJ 07032

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

Mohamed Elsayed Elsamra 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.

PECOS PAC ID3476072398
PECOS Enrollment IDI20250523000922
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mohamed Elsamra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular & Interventional Radiology
994 W SHERMAN AVE BLDG 2
Vineland, NJ 08360
  • Reassigned Medicare billing, New Jersey enrollment
  • 59 clinicians in this Medicare group
Neurology
2454 N MCMULLEN BOOTH RD STE 606
Clearwater, FL 33759
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
206 BERGEN AVE STE 207
KEARNY, NJ 07032

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 Mohamed Elsamra's NPI number?

The NPI number for Mohamed Elsamra is 1023819679. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Mohamed Elsamra located?

Mohamed Elsamra practices at 206 Bergen Ave Ste 207, Kearny, NJ 07032. The listed phone number is (631) 534-7246.

What is Mohamed Elsamra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mohamed Elsamra enrolled in Medicare?

Yes. Mohamed Elsamra 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 Mohamed Elsamra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Elsamra reassigns Medicare benefits to 2 organizations: Pulse Vascular, LLC (Vineland, NJ) and Daniel Korya MD LLC (Clearwater, FL). 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 Mohamed Elsamra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Elsamra accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mohamed Elsamra 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 Mohamed Elsamra affiliated with any hospitals?

According to CMS data, Mohamed Elsamra is affiliated with Hackensack University Medical Center, Chilton Medical Center and St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Mohamed Elsamra was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.