Individual provider Active NPI

Mahmud Bangash, M.D.

  • Vascular Surgery Physician
  • Fair Lawn, NJ
National Provider Identifier
1073606109
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
024765 Issued in NJ
Practice address
10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone
(201) 794-3256
Fax
(201) 794-6457
NPI assigned
Oct 2, 2006
Last updated
Nov 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 024765 NJ Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 024765 NJ

Addresses

Primary practice location

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728

Mailing address

10-14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone (201) 794-3256

Other identifiers 1

IdentifierTypeStateIssuer
2670909MedicaidNJ

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
I20081224000184 NJ Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 4082776158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 -14 Saddle River Rd
Fair Lawn, NJ 07410-5728
Phone (201) 794-3256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024765NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates, P.a Vascular Surgery CurrentSince Jan 1, 1989 Accepting new patients

Locations

10-14 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 794-3256

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1073606109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "201-794-3256",
            "fax_number": "201-794-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "201-794-3256",
            "fax_number": "201-794-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGASH",
        "first_name": "MAHMUD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "024765",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "024765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.