Active NPI
Doctor Omar Awan LLC
- Health Maintenance Organization
- Woodbridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- DOCTOR OMAR AWAN LLC
- Practice address
- 900 Woodbridge Center Dr
Woodbridge, NJ 07095-1324 - Phone
- (732) 397-6000
- NPI assigned
- Mar 22, 2017
- Last updated
- Mar 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar Q Awan, MD
- Title
- MD
- Phone
- (732) 397-6000
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
900 Woodbridge Center Dr
Woodbridge, NJ 07095-1324
Mailing address
42 Highview Dr
Woodbridge, NJ 07095-3904
Phone (732) 397-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0418561 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Doctor Omar Awan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Woodbridge, NJ
- NPI 1104203025
Locations
188 State Route 34
Holmdel, NJ 07733
Phone (732) 946-3999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Woodbridge, NJ
- NPI 1376819243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1174054167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 HIGHVIEW DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070953904",
"telephone_number": "732-397-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WOODBRIDGE CENTER DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951324",
"telephone_number": "732-397-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTOR OMAR AWAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "AWAN",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "732-397-6000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0418561",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.