MR. WALID M ELZOMOR PA-C
NPI 1255374930
Physician Assistant - Surgical in Brooklyn, NY
About Mr. Walid M Elzomor Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WALID M ELZOMOR PA-C (NPI 1255374930) is an individual surgical provider in Brooklyn, New York, licensed in New Jersey (25MP00140500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Walid M Elzomor Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's University Medical Center Inc
Acute Care Hospitals · Paterson, NJOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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 Walid Elzomor's NPI number?
The NPI number for Walid Elzomor is 1255374930. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Walid Elzomor located?
Walid Elzomor practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-7700.
What is Walid Elzomor's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Walid Elzomor enrolled in Medicare?
Yes. Walid Elzomor 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.
Is Walid Elzomor affiliated with any hospitals?
According to CMS data, Walid Elzomor is affiliated with St Joseph's University Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Walid Elzomor was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mr. Walid M Elzomor, PA-C · NPI 1255374930
Surgical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1255374930 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00140500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 6TH ST, Brooklyn, NY 11215-3609
- **Phone:** (718) 780-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255374930) · Data from the CMS NPPES public registry.