Individual provider Active NPI

Omar Noor, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Somerset, NJ
National Provider Identifier
1124319397
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 Worlds Fair Dr
Somerset, NJ 08873-1344
Phone
(734) 463-7546
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1 Worlds Fair Dr
Somerset, NJ 08873-1344

Mailing address

1 Worlds Fair Dr
Somerset, NJ 08873-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150902000230 NY Practitioner - Dermatology 5496061723 Reassigns benefits to 3 organizations
I20150928000292 NJ Practitioner - Dermatology 5496061723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babar K Rao MD PCGroup PAC ID 6406745116, 2 clinicians
American Skin and Cancer Center PCGroup PAC ID 6800815655, 4 clinicians

Practice addresses (Care Compare)

4238 Bronx Blvd
Bronx, NY 10466-2670
Phone (929) 229-2189

5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone (929) 229-2189

8808 179TH St
Jamaica, NY 11432-4734
Phone (929) 229-2189

900 Broadway
Suite 203
New York, NY 10003-1241
Phone (212) 949-0393

95 1St Ave
Atlantic Highlands, NJ 07716-1241
Phone (732) 872-2007

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions386
Skin biopsy96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Statue TC LLC Current Accepting new patients
Noor Dermatology LLC CurrentSince Jan 4, 2022 Accepting new patients
Omar Noor MD PC Current Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jan 1, 2022 Accepting new patients
American Skin and Cancer Center PC CurrentSince Jul 28, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

95 1st Ave
Atlantic Hlds, NJ 07716
Phone (732) 872-2007

850B Woodbridge Center Dr
Woodbridge, NJ 07095
Phone (732) 636-6366

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

5910 Junction Blvd
Flushing, NY 11373
Phone (718) 271-6883

8808 179th St
#100
Jamaica, NY 11432

8808 179th St
Ste LL100
Jamaica, NY 11432

900 Broadway
Ste 203
New York, NY 10003
Phone (212) 949-0393

345 E 37th St
Rm 317
New York, NY 10016
Phone (212) 949-0393

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1124319397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731344",
            "telephone_number": "734-463-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOR",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.