Organization Active NPI

Internal Medicine, P.a.

  • Primary Care Clinic/Center
  • Teaneck, NJ
National Provider Identifier
1023064052
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERNAL MEDICINE, P.A.
Practice address
155 Cedar LN
Teaneck, NJ 07666-4301
Phone
(201) 836-4248
Fax
(201) 836-5420
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Muhammad S. Umer, M.D.NPI 1548237704
Title
President
Phone
(201) 836-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

155 Cedar LN
Teaneck, NJ 07666-4301

Mailing address

155 Cedar LN
Teaneck, NJ 07666-4301
Phone (201) 836-4248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090610000582 NJ Part B Supplier - Clinic/Group Practice 4688724735 Receives reassigned benefits from 2 practitioners
Practice locations: Teaneck, NJ
O20121030000554 NJ DME Supplier - Physician - Internal Medicine 4688724735 Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

155 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-4248

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1897/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1023064052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664301",
            "telephone_number": "201-836-4248",
            "fax_number": "201-836-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664301",
            "telephone_number": "201-836-4248",
            "fax_number": "201-836-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "UMER",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-4248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.