Individual provider Active NPI

Mohammed Nisar, M.D.PA.FACP

  • Specialist
  • Edison, NJ
National Provider Identifier
1124114343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA026208 Issued in NJ
Practice address
1895 Oak Tree Rd
Edison, NJ 08820-2122
Phone
(732) 548-1833
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA026208 NJ Primary

Addresses

Primary practice location

1895 Oak Tree Rd
Edison, NJ 08820-2122

Mailing address

1895 Oak Tree Rd
Edison, NJ 08820-2122
Phone (732) 548-1833

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
I20040525001334 NJ Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8123009297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1895 Oak Tree Rd
Edison, NJ 08820-2122
Phone (732) 548-1833

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA026208NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Mohammed Nisar MD PA CurrentSince Jan 1, 1989 Accepting new patients

Locations

1895 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-1833

Organizations & group practices 1

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 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124114343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202122",
            "telephone_number": "732-548-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202122",
            "telephone_number": "732-548-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISAR",
        "first_name": "MOHAMMED",
        "credential": "M.D.PA.FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA026208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.