Syed Fahim Alam, MD
Individual provider Active NPI Psychiatry Physician · Livingston, NJ
NPI 1023083953 · NPPES record last updated May 4, 2017
Key facts
- NPI
- 1023083953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MA07915700 (NJ)
- Practice address
- 107 E. Mt. Pleasant Ave
Suite 107
Livingston, NJ 07039 - Phone
- (973) 535-3999
- Fax
- (973) 535-3222
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- State of New Jersey Omb Centralized Payroll
Practice addresses (Care Compare)
1130 Route 202
Suite B3
Raritan, NJ 08869-1494
Phone (908) 575-7332
275 Greenbrook Rd
Green Brook, NJ 08812-2223
Phone (732) 968-6000
40 Pittstown Rd
Clinton, NJ 08809-1209
Phone (908) 730-1301
Hospital & facility affiliations
- Morristown Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000000 | NJ | Practitioner - Psychiatry | 4284656364 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07915700 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current |
Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current |
Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current |
Accepting new patients | |
| Practice Associates,Inc | Psychiatry | Past | Accepting new patients |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past |
Accepting new patients | |
| Livingston Healthcare, LLC | Past |
Accepting new patients |
Locations
40 Pittstown Rd
Clinton, NJ 08809
Phone (908) 730-1301
275 Greenbrook Rd
Green Brook, NJ 08812
Phone (732) 968-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07915700 | NJ | Yes |
Addresses
Primary practice location
107 E. Mt. Pleasant Ave
Suite 107
Livingston, NJ 07039
Mailing address
19 Overlook Rd
Whitehouse Station, NJ 08889-3370
Phone (908) 575-7332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104663 | Medicaid | NJ |
Other providers in Livingston, NJ
- Sairah Ahmad
- Ahs Hospital Corp
- Aid Annex LLC
- Aim Health the Spine and Regenerative Medicine Institute of Ny & NJ
- Lubab Al-Quraishi I
- Alan B Echikson MD PA
- Alan B Levine D C P a
- Alan J Liftin, MD, Medical Services, PC
- Chelsea Alban
- Laura Alban
All providers in Livingston, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.