Provider Demographics
NPI:1083676746
Name:KAMEL, EMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:EMAD
Middle Name:
Last Name:KAMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PLAZA DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3756
Mailing Address - Country:US
Mailing Address - Phone:732-341-1380
Mailing Address - Fax:732-505-9296
Practice Address - Street 1:3 PLAZA DR
Practice Address - Street 2:SUITE 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3756
Practice Address - Country:US
Practice Address - Phone:732-341-1380
Practice Address - Fax:732-505-9296
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH25MA08056400207RC0200X
NJ25MA08056400207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0156078Medicaid
NJ116941BYLMedicare PIN
NJI32858Medicare UPIN