NPIMap

Organization Active NPI

Metropolitan Endocrinology, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Edgewater, NJ
National Provider Identifier
1124606504
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
METROPOLITAN ENDOCRINOLOGY, LLC
Practice address
725 River Rd Ste 106
Edgewater, NJ 07020-1170
Phone
(201) 781-5850
Fax
(201) 781-5850
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Sameera Daud-Ahmed, MD
Title
Owner
Phone
(201) 781-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

725 River Rd Ste 106
Edgewater, NJ 07020-1170

Mailing address

725 River Rd Ste 106
Edgewater, NJ 07020-1170
Phone (201) 781-5850

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidNJ
1N8423OtherNJMEDICARE PIN

Other names 1

  • Sameera Daud-Ahmed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407000076 NJ Part B Supplier - Clinic/Group Practice 6406263607 Receives reassigned benefits from 9 practitioners
Practice locations: Edgewater, NJ; Paramus, NJ; Westwood, 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
31D2228195Metropolitan Endocrinology Edgewater725 River Road, Edgewater, NJ 07020Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

48 Bi State Plz
Old Tappan, NJ 07675
Phone (212) 254-6882

25 Pompton Ave
Verona, NJ 07044
Phone (973) 239-2111

400 Old Hook Rd
Ste 2-3
Westwood, NJ 07675
Phone (201) 666-4200

400 Old Hook Rd
#23
Westwood, NJ 07675

Practitioners & affiliated clinicians

Practitioners 10

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1124606504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 106",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "201-781-5850",
            "fax_number": "201-781-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 106",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "201-781-5850",
            "fax_number": "201-781-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "DAUD-AHMED",
        "authorized_official_first_name": "SAMEERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-781-5850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "1N8423",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sameera Daud-Ahmed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sameera Daud-Ahmed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.