Individual provider Active NPI

Imran Syed Alam

  • Student in an Organized Health Care Education/Training Program
  • Newark, NJ
National Provider Identifier
1235923384
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
185 S. Orange Ave
MSB F-506
Newark, NJ 07103
Phone
(973) 972-5188
NPI assigned
Apr 5, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

185 S. Orange Ave
MSB F-506
Newark, NJ 07103

Mailing address

185 S. Orange Ave
MSB F-506
Newark, NJ 07103

Other practice location 1

825 Fairfax Ave Fl 5
Hofheimer Hall
Norfolk, VA 23507
Phone (757) 446-5258

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20251009003551 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6204333719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1235923384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S. ORANGE AVE",
            "address_2": "MSB F-506",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S. ORANGE AVE",
            "address_2": "MSB F-506",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fairfax Ave Fl 5",
            "address_2": "Hofheimer Hall",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "757-446-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "IMRAN",
        "middle_name": "SYED",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.