Organization Active NPI

Daud Panah, MD, P.C.

  • Psychiatry Physician
  • Atlantic City, NJ
National Provider Identifier
1205025533
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07612200 Issued in NJ
Legal business name
DAUD PANAH, MD, P.C.
Practice address
1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319
Phone
(609) 340-8200
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Daud Panah, MDNPI 1831239649
Title
Owner
Phone
(609) 340-8200

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA07612200 NJ Primary

Addresses

Primary practice location

1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319

Mailing address

1125 Pacific Ave
Suite 105
Atlantic City, NJ 08401-7319
Phone (609) 340-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071103000133 NJ Part B Supplier - Clinic/Group Practice 8527155753 Receives reassigned benefits from 1 practitioner
Practice locations: Atlantic City, NJ

National Provider Directory

National Provider Directory

Locations

1125 Pacific Ave
Ste 105
Atlantic City, NJ 08401
Phone (609) 340-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1205025533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PACIFIC AVE",
            "address_2": "SUITE 105",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017319",
            "telephone_number": "609-340-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PACIFIC AVE",
            "address_2": "SUITE 105",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017319",
            "telephone_number": "609-340-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUD PANAH, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "PANAH",
        "authorized_official_first_name": "DAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-340-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07612200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.