Individual provider Active NPI

Saad Nazmunnoor Islam

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
National Provider Identifier
1003488289
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00379700 Issued in NJ
Practice address
83 Summit Ave
Hackensack, NJ 07601-1374
Phone
(551) 309-3555
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00379700 NJ Primary

Addresses

Primary practice location

83 Summit Ave
Hackensack, NJ 07601-1374

Mailing address

83 Summit Ave
Hackensack, NJ 07601-1374
Phone (551) 309-3555

Other practice location 1

99 NJ-37, Toms River, NJ 08755
Toms River, NJ 08755
Phone (732) 557-8000

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
I20240905002408 NJ Practitioner - Podiatry 1759821705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

Practice addresses (Care Compare)

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue575
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

865 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 837-0606

865 Teaneck Rd
Ste 1
Teaneck, NJ 07666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
  • Direct secure messaging: islam.saad.1@23990.direct.athenahealth.com

Organizations & group practices 1

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

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1003488289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011374",
            "telephone_number": "551-309-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011374",
            "telephone_number": "551-309-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 NJ-37, Toms River, NJ 08755",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08755",
            "country_code": "US",
            "telephone_number": "732-557-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "SAAD",
        "middle_name": "NAZMUNNOOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00379700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.