NPIMap

Individual provider Active NPI

Mohammad Nasar Qureshi

  • Specialist
  • Edison, NJ
National Provider Identifier
1174525604
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06546400 Issued in NJ
Practice address
300 Columbus Cir Ste a
Edison, NJ 08837-3907
Phone
(908) 325-1508
Fax
(908) 272-1478
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 14

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
58.15
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20041228000880 NJ Practitioner - Pathology 6608834312 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QDX Path Alliance, PC CurrentSince Sep 1, 2009 Accepting new patients
Emes Professional Associates, Inc. CurrentSince Oct 1, 2006 Accepting new patients
Ac Rao PC CurrentSince May 16, 2021 Accepting new patients
Regional Pathologists PC Past Accepting new patients
Bucks County Gi Endoscopic Surgical Center LLC Past Accepting new patients
Summit Medical Group, Inc PastSince Mar 29, 2016 Accepting new patients
Consultants in Urology, PA Specialist Past Accepting new patients
Urology Specialty Care PA Past Accepting new patients
Bryn Mawr Urology Past Accepting new patients
Allied Digestive Health, LLC PastSince Jan 1, 2015 Accepting new patients
Hamilton Gastroenterology Group, P.C. Specialist Past Accepting new patients
Urologic Health Center of N.J. P.C. Past Accepting new patients
Urologic Health Center of NJ PC Past Accepting new patients
Shore Gastroenterology Associates PC Specialist Past Accepting new patients

Locations

46 Jackson Dr
Cranford, NJ 07016
Phone (866) 909-7284

300 Columbus Cir
Ste A
Edison, NJ 08837
Phone (866) 909-7284

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06546400 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Columbus Cir Ste a
Edison, NJ 08837-3907

Mailing address

300 Columbus Cir Ste a
Edison, NJ 08837-3907
Phone (908) 325-1508

Other identifiers 10

NPPES NPI Registry
IdentifierTypeStateIssuer
5098931OtherNJGHI PPO #
57R481OtherNJBCBS NY #
0352746000OtherNJAMERIHEALTH #
223560900OtherNJTAX IDENTIFICATION #
93671OtherNJAMERIGROUP #
2K7598OtherNJHEALTHNET #
60017468OtherNJHORIZON NJ HEALTH #
2K7999OtherNJHEALTHNET #
P3579476OtherNJOXFORD #
7628102MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2021.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1174525604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLUMBUS CIR STE A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373907",
            "telephone_number": "908-325-1508",
            "fax_number": "908-272-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLUMBUS CIR STE A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373907",
            "telephone_number": "908-325-1508",
            "fax_number": "908-272-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOHAMMAD",
        "middle_name": "NASAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06546400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "5098931",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NY #",
            "identifier": "57R481",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH #",
            "identifier": "0352746000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "223560900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP #",
            "identifier": "93671",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "2K7598",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH #",
            "identifier": "60017468",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "2K7999",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "P3579476",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7628102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.