Active NPI
Imran Syed Alam
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
National Provider Identifier
1235923384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009003551 | VA | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.