Active NPI
Taha Osman Mohammed, MD
- Dermatology Physician
- Clifton, NJ
National Provider Identifier
1063997351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA13149500
- Practice address
- 1255 Broad St
Clifton, NJ 07013-3398 - Phone
- (973) 685-5735
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Dermatology Physician | 207N00000X | 25MA13149500 | NJ | Primary |
Addresses
Primary practice location
1255 Broad St
Clifton, NJ 07013-3398
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other practice location 1
4733 W Sunset Blvd Fl 3
Los Angeles, CA 90027-6093
Phone (323) 783-4516
Other practice location 2
240 E Huron Street, Suite 1-200
Chicago, IL 60611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1063997351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 BROAD ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133398",
"telephone_number": "973-685-5735"
}
],
"practiceLocations": [
{
"address_1": "4733 W Sunset Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276093",
"country_code": "US",
"telephone_number": "323-783-4516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 E Huron Street, Suite 1-200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60611",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED",
"first_name": "TAHA",
"middle_name": "OSMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA13149500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.