NPIMap

Individual provider Active NPI

Antwan Ahad, MD

  • Neurology Physician
  • Secaucus, NJ
National Provider Identifier
1083729917
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA06226900 Issued in NJ
Practice address
1265 Paterson Plank Rd
Suite 3E
Secaucus, NJ 07094-3242
Phone
(201) 863-6101
Fax
(201) 863-7777
NPI assigned
Aug 20, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA06226900 NJ Primary

Addresses

Primary practice location

1265 Paterson Plank Rd
Suite 3E
Secaucus, NJ 07094-3242

Mailing address

1265 Paterson Plank Rd Ste 3a
Secaucus, NJ 07094-3242
Phone (201) 863-6101

Other identifiers 1

IdentifierTypeStateIssuer
7560508MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000947 NJ Practitioner - Neurology 4688645716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1265 Paterson Plank Rd
Suite 3a
Secaucus, NJ 07094-3242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as individual
Quality
83.34
Improvement activities
40
Cost
74.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06226900NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Haro Podiatry Center PC Past Accepting new patients
Ghias Moussa MD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: antwan.ahad@direct.christhospital.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDBDA/Endpoint/BGDBDA

Organizations & group practices 4

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 8

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1083729917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD STE 3A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "201-863-6101",
            "fax_number": "201-863-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 PATERSON PLANK RD",
            "address_2": "SUITE 3E",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943242",
            "telephone_number": "201-863-6101",
            "fax_number": "201-863-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHAD",
        "first_name": "ANTWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA06226900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7560508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.