Anas Ahmed, APN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marlton, NJ
NPI 1275354565 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1275354565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ15177700 (NJ)
- Practice address
- 765 Route 70 E BLDG a
Marlton, NJ 08053-2341 - Phone
- (856) 797-4771
- Fax
- (856) 797-4785
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Family Guidance PC
Practice addresses (Care Compare)
765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900
Hospital & facility affiliations
- West Jersey Hospital
- Virtua Mount Holly Hospital
- Virtua Willingboro Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114003945 | NJ | Practitioner - Nurse Practitioner | 0749718039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- anas.ahmedapn.p1@direct.cfg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15177700 | NJ | Yes |
Addresses
Primary practice location
765 Route 70 E BLDG a
Marlton, NJ 08053-2341
Mailing address
765 Route 70 E BLDG a
Marlton, NJ 08053-2341
Phone (856) 797-4771
Other providers in Marlton, NJ
- Aesthetic Dermatology, LLC
- Saba Aftab
- After 3 Educational Services
- Abhishek Agarwal
- Luisa Aggio
- Maarij Ahmed
- Debra Aikens
- Michael Ajayi
- Ajs Dental LLC
- Sameerah Akhtar
All providers in Marlton, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.