Dr Islam Fayed, MD is a medicare enrolled "Neurological Surgery" physician in Glassboro, New Jersey. His current practice location is
221 Victoria St, Glassboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 536-1706.
Dr Islam Fayed is licensed to practice in New Jersey (license number 25MA11824400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013395391.
Physician's Profile
Full Name | Dr Islam Fayed |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 221 Victoria St, Glassboro, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013395391
- Provider Enumeration Date: 05/07/2015
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365814290
- Enrollment ID: I20230202000982
Medical Identifiers
Medical identifiers for Dr Islam Fayed such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013395391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 25MA11824400 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Islam Fayed allows following entities to bill medicare on his behalf.
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Islam Fayed is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Islam Fayed, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Dr Islam Fayed, MD 221 Victoria St, Glassboro, NJ 08028-2278 Ph: (856) 536-1706 |
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