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DR. NIBAL AHMAD ZAGHLOUL MD
NPI 1447251764
Pediatrics - Pediatric Hematology-Oncology in New Brunswick, NJ

Active since August 09, 2005PECOS Enrolled
254 EASTON AVE, NEW BRUNSWICK, NJ 08901(732) 745-6674(732) 418-9708 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nibal Ahmad Zaghloul Md NPPES

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

DR. NIBAL AHMAD ZAGHLOUL MD (NPI 1447251764) is an individual pediatric hematology-oncology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08840100) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447251764
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. NIBAL AHMAD ZAGHLOULCredential: MD
Location Address254 EASTON AVENew Brunswick, NJ 08901-1766
Mailing Address254 Easton AveNew Brunswick, NJ 08901-1766 · (732) 745-6674 · Fax (732) 418-9708
Phone(732) 745-6674
Fax(732) 418-9708
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateDecember 7, 2012
✔ NPI 1447251764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in NJ · 25MA08840100✔ Licensed in OH · 35086391
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
254 EASTON AVE, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIN802519NJ
Medicaid0259144NJ
OtherMA08840100NJ · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nibal Ahmad Zaghloul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Nibal Zaghloul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Peter's University Hospital
Same address
General Acute Care Hospital
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peters University Hospital
  • 325 clinicians in this Medicare group
NPI 1114924834 (732) 745-6651
Saint Peter's Healthcare System Physician Associates
0.1 mi
General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1548569361 (732) 745-6651
Saint Peter's Specialty Physicians, P.C.
32 mi
Gastroenterology
500 RIVER AVE STE 110
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Saint Peter's Specialty Physicians PC
  • 58 clinicians in this Medicare group
NPI 1861894982 (732) 339-7880

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

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%159 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
72%53 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%376 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%41 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%376 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%376 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%376 patients
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 20

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

DR. AMIE KAWASHIMA D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 339-7566
CRAIG M AUMACK RPH, PHARMD
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JENNIFER WALDMANN M.D
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 996-6741
MRS. MICHELE BRUNO HORNER MS, CGC
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-6659
ERNESTO BRETON MD
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. I. MARK HIATT MD
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JANTI CHAABAN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
SHERENE TANASHA DUNKLEY APN-C
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 Nibal Zaghloul's NPI number?

The NPI number for Nibal Zaghloul is 1447251764. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Nibal Zaghloul located?

Nibal Zaghloul practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-6674.

What is Nibal Zaghloul's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Nibal Zaghloul enrolled in Medicare?

Yes. Nibal Zaghloul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nibal Zaghloul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nibal Zaghloul reassigns Medicare benefits to 3 organizations: Saint Peter's University Hospital (New Brunswick, NJ), Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ) and Saint Peter's Specialty Physicians, P.C. (Lakewood, 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 Nibal Zaghloul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nibal Zaghloul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nibal Zaghloul 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.

When was this NPI record last updated?

The NPPES record for Nibal Zaghloul was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.