Eltayeb Idris Massabbal, M D - Pediatrics in Bridgeton, NJ

Eltayeb Idris Massabbal, M D is a Pediatrics - Neonatal-perinatal Medicine physician based in Bridgeton, New Jersey. Eltayeb Idris Massabbal is licensed to practice in New Jersey (license number 25MA08089700) and his current practice location is 333 Irving Ave., Bridgeton, New Jersey. He can be reached at his office (for appointments etc.) via phone at (856) 451-6600.

NPI number for Eltayeb Idris Massabbal is 1376656488 and his current mailing address is P.o. Box 191, Rockland, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376656488.

Contact Information

Eltayeb Idris Massabbal, M D
333 Irving Ave.,
Bridgeton, NJ 08302-2123
(856) 451-6600
(302) 651-4945

Map and Direction




Physician's Profile

Full NameEltayeb Idris Massabbal
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location333 Irving Ave., Bridgeton, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376656488
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 07/27/2023

Medical Identifiers

Medical identifiers for Eltayeb Idris Massabbal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376656488NPI-NPPES
D08906700OtherNJCDS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD444793 (Pennsylvania)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 25MA08089700 (New Jersey)Primary

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. Eltayeb Idris Massabbal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eltayeb Idris Massabbal, M D
P.o. Box 191,
Rockland, DE 19723-0191

Ph: (302) 651-4000
Eltayeb Idris Massabbal, M D
333 Irving Ave.,
Bridgeton, NJ 08302-2123

Ph: (856) 451-6600

Reviews and Comments


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