NPIMap

Individual provider Active NPI

Muhammad Farhan Ijaz, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1235402967
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09539400 Issued in NJ
Practice address
992 Clifton Ave
Clifton, NJ 07013-3502
Phone
(862) 249-1266
Fax
(862) 249-1267
NPI assigned
Feb 10, 2012
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09539400 NJ Primary
Hospitalist Physician 208M00000X 53905 CT

Addresses

Primary practice location

992 Clifton Ave
Clifton, NJ 07013-3502

Mailing address

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (862) 249-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000409 NJ Practitioner - Internal Medicine 7517187800 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avant Medical Group LLCGroup PAC ID 5395266985, 3 clinicians
Gold Standard Medical Group PCGroup PAC ID 2961762554, 32 clinicians

Practice addresses (Care Compare)

37 W Century Rd
FL 1
Paramus, NJ 07652-1466
Phone (201) 523-2759

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09539400NJMDAddiction Medicine (Internal Medicine) Physician
53905CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Apr 25, 2024 Accepting new patients
Gold Standard Medical Group PC Internal Medicine CurrentSince Oct 30, 2017 Accepting new patients
Old Hook Hospitalists LLC Hospitalist CurrentSince Oct 27, 2014 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 1, 2015 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Apr 25, 2024 Accepting new patients
2020 Route 23 Operating Company LLC Past Accepting new patients
Revive Medical Group PC Internal Medicine Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Princeton Detox and Recovery Center, LLC Past Accepting new patients

Locations

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#P
Paterson, NJ 07503

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: mijaz287324@direct.hfhs.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1235402967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133502",
            "telephone_number": "862-249-1266",
            "fax_number": "862-249-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133502",
            "telephone_number": "862-249-1266",
            "fax_number": "862-249-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "MUHAMMAD",
        "middle_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09539400",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "53905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.