Individual provider Active NPI

Akbar Hussain Noormohamed, DO

  • Emergency Medicine Physician
  • Newark, NJ
National Provider Identifier
1083640965
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08025000 Issued in NJ
Practice address
111 Central Avenue
Newark, NJ 07102-1909
Phone
(973) 877-5000
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08025000 NJ Primary

Addresses

Primary practice location

111 Central Avenue
Newark, NJ 07102-1909

Mailing address

66 W Gilbert St
2ND Floor
Red Bank, NJ 07701-4918
Phone (732) 212-0051

Other identifiers 5

IdentifierTypeStateIssuer
P00355190OtherNJRAILROAD MEDICARE
2736071000OtherNJAMERIHEALTH OF NJ
60026407OtherNJHORIZON NJ HEALTH
XK1701OtherNJHEALTH NET
0109860MedicaidNJ

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
I20061016000023 NJ Practitioner - Emergency Medicine 0143226126 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stadium Emergency AssociatesGroup PAC ID 6406150010, 24 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08025000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jan 1, 2010 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Dec 19, 2017 Accepting new patients
Stadium Emergency Associates CurrentSince Jul 6, 2019 Accepting new patients
Doctors Office of New Jersey, LLC CurrentSince Nov 19, 2020 Accepting new patients
Nes Georgia Inc Emergency Medicine Current Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: anoormohamed190053@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1083640965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "2ND FLOOR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORMOHAMED",
        "first_name": "AKBAR",
        "middle_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08025000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00355190",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH OF NJ",
            "identifier": "2736071000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60026407",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "XK1701",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109860",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.