Provider Demographics
NPI:1497778377
Name:EXEL-MED INC
Entity Type:Organization
Organization Name:EXEL-MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAMATY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:856-651-1400
Mailing Address - Street 1:2301 EVESHAM RD
Mailing Address - Street 2:STE 504 PAVILIONS OF VOORHEES
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043
Mailing Address - Country:US
Mailing Address - Phone:856-651-1400
Mailing Address - Fax:856-651-1401
Practice Address - Street 1:2301 EVESHAM RD
Practice Address - Street 2:STE 504 PAVILIONS OF VOORHEES
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-651-1400
Practice Address - Fax:856-651-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1728117OtherPERSONAL CHOICE
NJ60000105OtherHORIZON NJ HEALTH & FIRST
NJ2396187002OtherAMERI HLTH KEYSTONE PCP H
NJ6781101Medicaid
NJ06257OtherHEALTH PARTNERS
NJ537OtherAETNA HMO
NJ2396187000OtherAMERI HLTH KEYSTONE PULMO
NJ4454791OtherAETNA PPO
NJCM4661OtherRAILROAD MEDICARE
NJEX1485119OtherHIGHMARK BCBS
NJ2396187002OtherAMERI HLTH KEYSTONE PCP H
NJ=========OtherALL HORIZON BCBS PLANS
NJ=========OtherALL HORIZON BCBS PLANS