DR. FADY SOURIAL DO
NPI 1437688900
Student in an Organized Health Care Education/Training Program in Stratford, NJ

Q: What is Fady Sourial's NPI number?

The NPI number for Fady Sourial is 1437688900. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Fady Sourial's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Fady Sourial was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 08, 2017PECOS Enrolled

42 E LAUREL RD STE 1700, STRATFORD, NJ 08084(856) 566-2877 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Fady Sourial Do NPPES

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

DR. FADY SOURIAL DO (NPI 1437688900) is an individual student in an organized health care education/training program in Stratford, New Jersey and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1437688900

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. FADY SOURIALCredential: DO

Location Address42 E LAUREL RD STE 1700Stratford, NJ 08084-1354

Mailing Address42 E Laurel Rd Ste 1700Stratford, NJ 08084-1354

Phone(856) 566-2877

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2017

Enumeration DateJune 8, 2017

✔ NPI 1437688900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

42 E LAUREL RD STE 1700, Stratford, NJ 08084

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fady Sourial Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355814161

PECOS Enrollment IDI20260624000075

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.

Other Providers at the Same Location NPPES 17

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

DR. MILLICENT K CHANNELL D.O.

Neuromusculoskeletal Medicine & OMM