Active NPI
Mir M Ahmad, M.D.
- Specialist
- Florham Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA06784300
- Practice address
- 83 Hanover Rd
Suite 290
Florham Park, NJ 07932 - Phone
- (973) 736-2212
- Fax
- (973) 736-2989
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA06784300 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MA06784300 | NJ |
Addresses
Primary practice location
83 Hanover Rd
Suite 290
Florham Park, NJ 07932
Mailing address
15 Hop Brook LN
Holmdel, NJ 07733-2143
Phone (908) 912-4561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8336105 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 Schanck Rd
Suite B 3
Freehold, NJ 07728-2989
Phone (732) 952-5353
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Health LLC | Internal Medicine | Current | Accepting new patients |
| Pulse Vascular, LLC | Current | Accepting new patients | |
| Vascular Care Centers LLC | Current | Accepting new patients | |
| Nephrological Associates, PA | Specialist | Current | Accepting new patients |
| Vascular Access Center of Trenton LLC | Past | Accepting new patients |
Locations
83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278
77 Schanck Rd
Ste B-3
Freehold, NJ 07728
Phone (732) 462-9800
200 Perrine Rd
Ste 223
Old Bridge, NJ 08857
Phone (732) 895-1770
299 Cherry Hill Rd
Ste 104
Parsippany, NJ 07054
Phone (732) 952-5353
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
Interoperability endpoints
- mahmad@vascularhealth.md.direct-ci.com
- mir.ahmad.cnj@direct.vac.nextgenshare.com
- mirahmad@vascularhealth.md.direct-ci.com
Organizations & group practices 6
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.
-
- Vascular & Interventional Radiology Physician
- Vineland, NJ
- NPI 1255899704
-
- Nephrology Physician
- Voorhees, NJ
- NPI 1326985474
-
- Nephrology Physician
- Old Bridge, NJ
- NPI 1407281595
-
- Specialist
- Florham Park, NJ
- NPI 1740407923
-
- Vascular & Interventional Radiology Physician
- Trenton, NJ
- NPI 1740234301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1285735860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HOP BROOK LN",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332143",
"telephone_number": "908-912-4561",
"fax_number": "908-603-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HANOVER RD",
"address_2": "SUITE 290",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "07932",
"telephone_number": "973-736-2212",
"fax_number": "973-736-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "MIR",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA06784300",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06784300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8336105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.