Active NPI
Naureen Ameen, MD
- Pediatrics Physician
- Secaucus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA08106700
- Practice address
- 714 10TH St
Secaucus, NJ 07094-2921 - Phone
- (201) 862-3346
- Fax
- (201) 863-5251
- NPI assigned
- Oct 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA08106700 | NJ | Primary |
Addresses
Primary practice location
714 10TH St
Secaucus, NJ 07094-2921
Mailing address
714 10TH St
Secaucus, NJ 07094-2921
Phone (201) 862-3346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112437 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1759 Broad Park Cir S
Suite 201
Mansfield, TX 76063-7834
4055 International PLZ
Suite 605
Fort Worth, TX 76109-4891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA08106700 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidsville Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
Locations
1759 Broad Park Cir S
Ste 201
Mansfield, TX 76063
Phone (682) 341-3910
5881 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 885-9400
Interoperability endpoints
- nameen507230@direct.childrens.com
Organizations & group practices 1
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.
-
- Pediatric Critical Care Medicine Physician
- Mansfield, TX
- NPI 1689264996
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285710574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 10TH ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942921",
"telephone_number": "201-862-3346",
"fax_number": "201-863-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 10TH ST",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942921",
"telephone_number": "201-862-3346",
"fax_number": "201-863-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEEN",
"first_name": "NAUREEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA08106700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112437",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
- Tahera Ali, D.O.
- Alivedrip Medical LLC (AliveDrip Longevity)
- Ashwag Sultan Alqahtani, MD
- AMC Home Care LLC
- Amedisys New Jersey, L.L.C. (Amedisys Home Health)
- American Current Care of New Jersey PA
- Ampfi Medical LLC (Smart Choice NJ)
- Amur Pike Emergency Physicians LLC
- Julie Yj An, NP
- Angel Lazo MD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.