Ambreen Shariq Samad, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08443700 Issued in NJ

Practice address

112 Ewing St
Trenton, NJ 08609-1004

Phone

(609) 278-5900

Fax

(609) 396-1526

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
• Direct secure messaging: ambreen.samad.1@12521.direct.athenahealth.com

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.

• Henry J Austin Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1275644809
  Medicare reassignment
• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  NPD (past)
• Henry J Austin Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Trenton, NJ
  • NPI 1114101607
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1013147131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-5900",
            "fax_number": "609-396-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EWING ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091004",
            "telephone_number": "609-278-5900",
            "fax_number": "609-396-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Stelton Rd",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543251",
            "country_code": "US",
            "telephone_number": "732-752-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "AMBREEN",
        "middle_name": "SHARIQ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08443700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Saleh
• Raja Salem, MD
• Ashley Ilderton Salgado, DO
• Nasim Salimiaghdam, MD
• Salman M Muddassir
• Shanta Sambasivam, RPT
• Djamshed Samiev, M.D.
• Joni M. Sampson, LPC, LCADC, NCC
• Horace Samuels, D.C.
• Sanchez Care Services LLC.

• Pediatrics Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.