NPIMap

Organization Active NPI

Excel Primary and Specialty Care PC

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1215637129
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EXCEL PRIMARY AND SPECIALTY CARE PC
Practice address
3279 John F Kennedy Blvd
Jersey City, NJ 07306-3418
Phone
(201) 705-3015
Fax
(201) 710-7165
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Ahmed Seman, MDNPI 1942538715
Title
Owner
Phone
(201) 705-3015

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
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

3279 John F Kennedy Blvd
Jersey City, NJ 07306-3418

Mailing address

11 Oak St
Bayonne, NJ 07002-4329
Phone (201) 705-3015

Other names 1

  • Excel Primary and Specialty Care PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230419000039 NJ Part B Supplier - Clinic/Group Practice 2163897406 Receives reassigned benefits from 5 practitioners
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

3279 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 205-1640

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1215637129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OAK ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024329",
            "telephone_number": "201-705-3015",
            "fax_number": "201-705-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063418",
            "telephone_number": "201-705-3015",
            "fax_number": "201-710-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PRIMARY AND SPECIALTY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SEMAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-705-3015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Primary and Specialty Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.