David Fard Ahmadi, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA03724500 Issued in NJ

Practice address

222 Easton Ave
Suite C
New Brunswick, NJ 08901-1723

Phone

(732) 828-6404

Fax

(732) 846-8035

NPI assigned

Aug 10, 2005

Last updated

Jun 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1225039464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EASTON AVE",
            "address_2": "SUITE C",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011723",
            "telephone_number": "732-828-6404",
            "fax_number": "732-846-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EASTON AVE",
            "address_2": "SUITE C",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011723",
            "telephone_number": "732-828-6404",
            "fax_number": "732-846-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "DAVID",
        "middle_name": "FARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA03724500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA03724500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard J Agrin, MD
• Al-Zada Alberto Ang Aguilar, MSN RNBC ACNPBC CCRN
• Virginia Ahearn, CPM
• Myra Ahmad, DO
• Verdah Ahmad
• Ahmed Ahmed
• Haris Syed Ahmed, M.D.
• Hesham Ahmed, M.D.
• Jemin Ahn
• Joseph Aisner

• Otolaryngology Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.