Humaira Naseem Adenwalla, M.D.
Individual provider Active NPI Rheumatology Physician · Lawrenceville, NJ
NPI 1043474349 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1043474349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- MT186386 (PA)
- Practice address
- 3100 Princeton Pike Ste D
Lawrenceville, NJ 08648-2300 - Phone
- (609) 910-5556
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Titan Health Partners LLC
Practice addresses (Care Compare)
1 Washington Blvd
Suite 9
Robbinsville, NJ 08691-3162
Phone (732) 314-0540
Hospital & facility affiliations
- Robert Wood Johnson University Hospital at Hamilton
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 |
|---|---|---|---|---|
| I20121108000023 | NJ | Practitioner - Rheumatology |
3476704099 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT186386 | PA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titan Health Partners LLC | Current |
Accepting new patients | |
| Titan Health Partners LLC | Current |
Accepting new patients | |
| Titan Health Partners LLC | Past | Accepting new patients |
Locations
629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555
34-36 Progress St
Ste B
Edison, NJ 08820
4 Progress St
Ste A9
Edison, NJ 08820
Phone (732) 724-3070
1 Washington Blvd
Ste 9
Robbinsville, NJ 08691
Phone (732) 314-0540
601 Route 37 W
Ste 101
Toms River, NJ 08755
Phone (732) 240-4545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MT186386 | PA | Yes |
Addresses
Primary practice location
3100 Princeton Pike Ste D
Lawrenceville, NJ 08648-2300
Mailing address
3100 Princeton Pike Ste D
Lawrenceville, NJ 08648-2300
Phone (609) 910-5556
Other providers in Lawrenceville, NJ
- A to Z Behavioral Services Princeton LLC
- Ariel Francisco Abud
- Archana Acharya
- Acme Medical Corp
- Marcia Kipp Adams
- Scott Lee Adler
- Advance Thru Psychotherapy & Family Development, PA
- Advocare , LLC
- Kimberley C Agbo
- Robyn Agri
All providers in Lawrenceville, NJ · Rheumatology 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 Jan 27, 2021. 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.