1. Home
  2. Directory
  3. New Jersey
  4. Toms River
  5. Internal Medicine
  6. NPI Profile

ELIE JOSEPH EL-CHARABATY MD
NPI 1164643490
Internal Medicine - Nephrology in Toms River, NJ

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
87.55/100
CMS Quality Rating
20 HOSPITAL DR STE 18, TOMS RIVER, NJ 08755(732) 569-6166(888) 225-3365 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elie Joseph El-charabaty Md NPPES

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

ELIE JOSEPH EL-CHARABATY MD (NPI 1164643490) is an individual nephrology provider in Toms River, New Jersey, licensed in New Jersey (25MA0993400) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1164643490
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameELIE JOSEPH EL-CHARABATYCredential: MD
Location Address20 HOSPITAL DR STE 18Toms River, NJ 08755-6434
Mailing Address20 Hospital Dr Ste 18Toms River, NJ 08755-6434 · (732) 569-6166 · Fax (888) 225-3365
Phone(732) 569-6166
Fax(888) 225-3365
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 2, 2007
Last NPPES UpdateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1164643490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA0993400
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
20 HOSPITAL DR STE 18, Toms River, NJ 08755
Open in Google Maps ↗

Other Identifiers 3

Medicaid02882497NY
Other06331425Ecfmg #
OtherA400070307NY · Ptan

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

Elie Joseph El-charabaty Md 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 ID6103917596
PECOS Enrollment IDI20070815000006, I20251231000903
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

4

Medicare enrollment records show Elie El-charabaty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hope Medical Services
Same address
Nephrology
20 HOSPITAL DR STE 18
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1720563893 (732) 569-6166
Physicians Of University Hospital, PC
38 mi
Geriatric Medicine
375 SEGUINE AVE, 2ND FL.
Staten Island, NY 10309
  • Reassigned Medicare billing, New York enrollment
  • 530 clinicians in this Medicare group
NPI 1417901323 (718) 226-6789
Island Nephrology Services, PC
43 mi
Nephrology
470 SEAVIEW AVE
Staten Island, NY 10305
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1598753253 (718) 987-5940
North Shore - Lij Medical PC
60 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
941 services324 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
279 services94 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
200 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
157 services81 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
111 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost25.18

Reported Quality Measures

Advance Care Plan
100%680 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
93%147 patients4/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
9%32 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,050 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%260 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

ST LUKE MEDICAL SERVICES INC
Internal Medicine
20 HOSPITAL DR STE 18
TOMS RIVER, NJ 08755
Ocean County (732) 569-6166
EMAD NABIL GOBRAN MD
Internal Medicine (Nephrology)
20 HOSPITAL DR STE 18
TOMS RIVER, NJ 08755
Ocean County (732) 569-6166
MISHARLLC
Internal Medicine (Nephrology)
20 HOSPITAL DR STE 18
TOMS RIVER, NJ 08755
Ocean County (646) 261-2631
HOPE MEDICAL SERVICES
Internal Medicine (Nephrology)
20 HOSPITAL DR STE 18
TOMS RIVER, NJ 08755
Ocean County (732) 569-6166
MRS. CHRISTINE ANN PIERCY APN
Nurse Practitioner
20 HOSPITAL DR STE 18
TOMS RIVER, NJ 08755
Ocean County (732) 569-6166

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 Elie El-charabaty's NPI number?

The NPI number for Elie El-charabaty is 1164643490. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Elie El-charabaty located?

Elie El-charabaty practices at 20 Hospital Dr Ste 18, Toms River, NJ 08755. The listed phone number is (732) 569-6166.

What is Elie El-charabaty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Elie El-charabaty enrolled in Medicare?

Yes. Elie El-charabaty 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 Elie El-charabaty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elie El-charabaty reassigns Medicare benefits to 4 organizations: Hope Medical Services (Toms River, NJ), Physicians Of University Hospital, PC (Staten Island, NY), Island Nephrology Services, PC (Staten Island, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Elie El-charabaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Elie El-charabaty affiliated with any hospitals?

According to CMS data, Elie El-charabaty is affiliated with Robert Wood Johnson University Hospital, Community Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Elie El-charabaty was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.