Individual provider Active NPI

Sameera Daud-Ahmad, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Edgewater, NJ
National Provider Identifier
1073700381
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA08562600 Issued in NJ
Practice address
725 River Rd Ste 106
Edgewater, NJ 07020-1170
Phone
(201) 781-5850
Fax
(201) 781-5850
NPI assigned
Oct 1, 2007
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA08562600 NJ Primary

Addresses

Primary practice location

725 River Rd Ste 106
Edgewater, NJ 07020-1170

Mailing address

725 River Rd Ste 106
Edgewater, NJ 07020-1170
Phone (201) 781-5850

Other identifiers 1

IdentifierTypeStateIssuer
1N8423OtherNJMEDICARE PIN

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
I20090922000647 NJ Practitioner - Endocrinology 5597815928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Endocrinology LLCGroup PAC ID 6406263607, 9 clinicians

Practice addresses (Care Compare)

725 River Rd
Suite 106
Edgewater, NJ 07020-1170
Phone (201) 781-5850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Endocrinology, LLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2021 Accepting new patients
Teletherapeutics Health California Corp CurrentSince Sep 12, 2023 Accepting new patients

Locations

725 River Rd
Ste 106
Edgewater, NJ 07020
Phone (201) 943-2273

30 Moran St
Newton, NJ 07860
Phone (973) 579-3101

Organizations & group practices 2

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 3

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1073700381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 106",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "201-781-5850",
            "fax_number": "201-781-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 106",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "201-781-5850",
            "fax_number": "201-781-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUD-AHMAD",
        "first_name": "SAMEERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA08562600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "1N8423",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.