Individual provider Active NPI

Syed Fahim Alam, MD

  • Psychiatry Physician
  • Livingston, NJ
National Provider Identifier
1023083953
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07915700 Issued in 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
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07915700 NJ Primary

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000000 NJ Practitioner - Psychiatry 4284656364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 PayrollGroup PAC ID 6406742592, shared by 9 NPIs, 129 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 1, 2016 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince May 10, 2014 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince May 10, 2014 Accepting new patients
Livingston Healthcare, LLC PastSince Feb 11, 2008 Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 18, 2004 Accepting new patients
Practice Associates,Inc Psychiatry 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

Organizations & group practices 8

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 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1023083953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OVERLOOK RD",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893370",
            "telephone_number": "908-575-7332",
            "fax_number": "908-575-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E. MT. PLEASANT AVE",
            "address_2": "SUITE 107",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-535-3999",
            "fax_number": "973-535-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SYED",
        "middle_name": "FAHIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07915700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.