Organization Active NPI

North Jersey Pulmonary Associates

  • Pulmonary Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1124598438
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NORTH JERSEY PULMONARY ASSOCIATES
Practice address
127 Union St Ste 105
Ridgewood, NJ 07450-4436
Phone
(973) 321-1670
Fax
(973) 321-1672
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Authorized official

Name
Nader A Mahmood, MDNPI 1396906913
Title
Physician
Phone
(551) 574-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X

Addresses

Primary practice location

127 Union St Ste 105
Ridgewood, NJ 07450-4436

Mailing address

127 Union St Ste 105
Ridgewood, NJ 07450-4436
Phone (973) 321-1670

Other practice location 1

1100 Clifton Ave Ste 1B
Clifton, NJ 07013-3631
Phone (973) 321-1670

Other identifiers 1

IdentifierTypeStateIssuer
0320234MedicaidNJ

Other names 1

  • Design Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116000097 NJ Part B Supplier - Clinic/Group Practice 8224374004 Receives reassigned benefits from 5 practitioners
Practice locations: Ridgewood, NJ; Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2159765North Jersey Pulmonary Associates127 Union Street, Suite 105, Ridgewood, NJ 07450Certificate of waiverDec 25, 2026
31D2277096North Jersey Pulmonary Associates1100 Clifton Ave, Clifton, NJ 07013Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

1040 Main St
#3
Paterson, NJ 07503

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBGBD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1124598438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION ST STE 105",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504436",
            "telephone_number": "973-321-1670",
            "fax_number": "973-321-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION ST STE 105",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504436",
            "telephone_number": "973-321-1670",
            "fax_number": "973-321-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Clifton Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133631",
            "country_code": "US",
            "telephone_number": "973-321-1670",
            "fax_number": "973-321-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH JERSEY PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "551-574-1007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320234",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Design Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.