Individual provider Active NPI

Mohamad Soud, M.D.

  • Interventional Cardiology Physician
  • New Brunswick, NJ
National Provider Identifier
1003278292
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA10965900 Issued in NJ
Practice address
317 George St Ste 440
New Brunswick, NJ 08901-2008
Phone
(732) 994-3278
Fax
(732) 354-3181
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA10965900 NJ Primary

Addresses

Primary practice location

317 George St Ste 440
New Brunswick, NJ 08901-2008

Mailing address

317 George St Ste 440
New Brunswick, NJ 08901-2008
Phone (732) 994-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002454 NJ Practitioner - Interventional Cardiology 4587023312 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Wood Johnson Physician EnterpriseGroup PAC ID 5597917633, 71 clinicians

Practice addresses (Care Compare)

10 Parsonage Rd
Suite 410
Edison, NJ 08837-2475
Phone (732) 795-6130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10965900NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise CurrentSince Jan 20, 2024 Accepting new patients
Cardiac and Vascular Interventions of New Jersey LLC CurrentSince Nov 18, 2024 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Jul 1, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

12 Stults Rd
Ste 121
Dayton, NJ 08810
Phone (732) 297-8666

10 Parsonage Rd
Ste 410
Edison, NJ 08837
Phone (732) 659-9524

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

317 George St
Ste 440
New Brunswick, NJ 08901
Phone (732) 944-3278

303 George St
Ste 105
New Brunswick, NJ 08901
Phone (732) 846-6100

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3196 Kennedy Blvd
Ste 2
Union City, NJ 07087
Phone (201) 604-0377

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1003278292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST STE 440",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-994-3278",
            "fax_number": "201-603-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST STE 440",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-994-3278",
            "fax_number": "732-354-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUD",
        "first_name": "MOHAMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA10965900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.