Pervaize Latif, MD FACA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA033090 Issued in NJ

Practice address

565 New Brunswick Ave
Fords, NJ 08863

Phone

(732) 738-8000

Fax

(732) 738-1663

NPI assigned

Oct 2, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12100/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarabarton Cardio Medical Association Inc.

  • Cardiovascular Disease Physician
  • Fords, NJ
  • NPI 1215019997
  Authorized official Same address or phone
• Community Hospital Group, Inc

  dba JFK MRMC Assistant Surgeons

  • Specialist
  • Edison, NJ
  • NPI 1427278258
  NPD (past)
• M. Mohammed Nisar MD PA

  • Hematology & Oncology Physician
  • Edison, NJ
  • NPI 1356457725
  NPD (past)
• Metuchen Family Medicine LLC

  • Internal Medicine Physician
  • Metuchen, NJ
  • NPI 1346062429
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174616064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 NEW BRUNSWICK AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "08863",
            "telephone_number": "732-738-8000",
            "fax_number": "732-738-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 NEW BRUNSWICK AVE",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "08863",
            "telephone_number": "732-738-8000",
            "fax_number": "732-738-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "PERVAIZE",
        "credential": "MD FACA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA033090",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA033090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6525601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1614908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kropoth, LPC
• Rajeev Kuray, DDS
• Michael William Lagana, DC
• Eklavya Lalwani, PHARMD
• Diana Michele Lapp
• Shahid Latif, MD
• Sharrique Monique Livingston, LAC
• Dean A Lupo, D.C.
• Madho K Sharma MD PA
• Jessica Noelle Maldonado, LMSW

• Internal Medicine Physician in Fords, NJ
• Providers in Fords, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.