Individual provider Active NPI

Ahmed Kamel, MS,RD

  • Registered Dietitian
  • Wayne, NJ
National Provider Identifier
1194481978
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86074154 Issued in NJ
Practice address
37 Archung Rd
Wayne, NJ 07470-5804
Phone
(201) 982-6221
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001029 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7618415621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86074154NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Kamel Ventures LLC Dietitian, Registered CurrentSince Aug 2, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86074154 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

37 Archung Rd
Wayne, NJ 07470-5804

Mailing address

37 Archung Rd
Wayne, NJ 07470-5804
Phone (201) 982-6221

Other practice location 1

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000 ext. 6045

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2023.

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1194481978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ARCHUNG RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705804",
            "telephone_number": "201-982-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ARCHUNG RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705804",
            "telephone_number": "201-982-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109014812",
            "country_code": "US",
            "telephone_number": "845-368-5000 x6045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMEL",
        "first_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "MS,RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86074154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.

Verify at the official NPI Registry.