Individual provider Active NPI

Beenish Faheem, MD

  • Internal Medicine Physician
  • Englewood, NJ
National Provider Identifier
1144883109
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11972800 Issued in NJ
Practice address
370 Grand Ave Ste 102
Englewood, NJ 07631-4109
Phone
(201) 567-3370
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 25MA11972800 NJ Primary

Addresses

Primary practice location

370 Grand Ave Ste 102
Englewood, NJ 07631-4109

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 689-8333

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (516) 301-0748

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
I20231106002435 NJ Practitioner - Internal Medicine 1557718004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

370 Grand Ave
Suite 102
Englewood, NJ 07631-4109
Phone (201) 567-3370

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Life Source Services LLC Hospice, Oradell, NJ, CCN 311549
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Skilled Nursing at Fellowship Village Nursing home, Basking Ridge, NJ, CCN 315356

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11972800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC Internal Medicine CurrentSince Jan 14, 2025 Accepting new patients
Medpal MD LLC Hospice and Palliative Medicine CurrentSince Dec 31, 2024 Accepting new patients

Locations

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

370 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 567-3370

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 2

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 5

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1144883109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-689-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314109",
            "telephone_number": "201-567-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "516-301-0748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEEM",
        "first_name": "BEENISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11972800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.