Individual provider Active NPI

Mohammed Islam, MD

  • Internal Medicine Physician
  • Perth Amboy, NJ
National Provider Identifier
1114938461
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35847 Issued in AZ
Practice address
RBMC 530 New Brunswick Ave
Dept of Internal Medicine
Perth Amboy, NJ 08861
Phone
(732) 324-5080
Fax
(732) 324-4669
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35847 AZ Primary

Addresses

Primary practice location

RBMC 530 New Brunswick Ave
Dept of Internal Medicine
Perth Amboy, NJ 08861

Mailing address

1808 Plaza Dr
Woodbridge, NJ 07095-1127
Phone (732) 675-1035

Other identifiers 4

IdentifierTypeStateIssuer
129026MedicaidAZ
01004682204OtherNJAMERICHOICE (MIDDLESEX)
P00800130OtherNJRR MEDICARE
0170241MedicaidNJ

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
I20080820000007 NJ Practitioner - Internal MedicinePractitioner - Emergency Medicine 2365448180 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rivers Health Associates LLCGroup PAC ID 7810369972, 3 clinicians
Central Jersey Medical Center Inc.Group PAC ID 1456301241, 30 clinicians
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 338-8948

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-6635

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5073

80 Johnson Ave
Newark, NJ 07108-2729
Phone (973) 623-8592

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine CurrentSince Aug 11, 2019 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Mar 9, 2020 Accepting new patients
Two River Physician Associates CurrentSince Jan 9, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Mar 24, 2021 Accepting new patients
Allied Digestive Health, LLC CurrentSince Sep 21, 2021 Accepting new patients
Rivers Health Associates, LLC Internal Medicine CurrentSince Jul 11, 2025 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Jan 9, 2021 Accepting new patients
Meridian Medical Group - Specialty Care, PC Internal Medicine Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Orange Physicians Post Care LLC Internal Medicine PastSince Sep 8, 2025 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

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

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

195 Route 9
Ste 106
Manalapan, NJ 07726
Phone (732) 360-3522

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

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

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

280 Highway 35
Ste 304
Red Bank, NJ 07701
Phone (732) 327-9019

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

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

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: mohammed.islam@direct.hackensackmeridian.org
  • Direct secure messaging: mohammed.islam.1@16647.direct.athenahealth.com
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 12

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 10

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1114938461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 PLAZA DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951127",
            "telephone_number": "732-675-1035",
            "fax_number": "732-324-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RBMC 530 NEW BRUNSWICK AVE",
            "address_2": "DEPT OF INTERNAL MEDICINE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-324-5080",
            "fax_number": "732-324-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129026",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE (MIDDLESEX)",
            "identifier": "01004682204",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00800130",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170241",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.