Individual provider Active NPI

Moh'D K Qumei, MD

  • Emergency Medicine Physician
  • Plainfield, NJ
National Provider Identifier
1104869825
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA55317 Issued in NJ
Practice address
1200 Park Ave
Plainfield, NJ 07061
Phone
(908) 668-2200
Fax
(908) 668-6894
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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 MA55317 NJ Primary

Addresses

Primary practice location

1200 Park Ave
Plainfield, NJ 07061

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300

Other identifiers 1

IdentifierTypeStateIssuer
5425409MedicaidNJ

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
I20031125000654 NJ Practitioner - Internal Medicine 5092619536 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA55317NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Jul 28, 2014 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jul 28, 2014 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Jul 28, 2014 Accepting new patients
Tidal Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Leeds Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

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

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1104869825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07061",
            "telephone_number": "908-668-2200",
            "fax_number": "908-668-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUMEI",
        "first_name": "MOH'D",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA55317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5425409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.