Ksa Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KSA MEDICAL LLC

Practice address

230 Sherman Ave Ste B
Glen Ridge, NJ 07028-1520

Phone

(201) 647-8035

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Aiza AkbarNPI 1588117576

Title

Owner

Phone

(201) 647-8035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Aiza Akbar, M.D.

  • Internal Medicine Physician
  • Glen Ridge, NJ
  • NPI 1588117576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1063276012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 ALLESSANDRINI AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462403",
            "telephone_number": "201-647-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE STE B",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281520",
            "telephone_number": "201-647-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "AKBAR",
        "authorized_official_first_name": "AIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-647-8035"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kim, MD
• Sung T. Kim, M.D.
• Dusan Knezevic, MD
• Brian Koch
• Randy Kolodny, PT, DPT
• Yong Min Kwon, M.D.
• Robert Labruzza, D.C.
• Jill D Langell, OTR/L
• Lauren Lawson
• Robert Levai, MD

• Internal Medicine Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.