Individual provider Active NPI

Mir M Ahmad, M.D.

  • Specialist
  • Florham Park, NJ
National Provider Identifier
1285735860
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06784300 Issued in NJ
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8336105MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000135 NJ Practitioner - Internal MedicinePractitioner - Nephrology 1658496997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Health LLCGroup PAC ID 5395078000, 11 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Health LLC Internal Medicine CurrentSince Apr 30, 2019 Accepting new patients
Pulse Vascular, LLC CurrentSince Sep 1, 2019 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 PastSince Feb 1, 2017 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

  • Direct secure messaging: mahmad@vascularhealth.md.direct-ci.com
  • Direct secure messaging: mir.ahmad.cnj@direct.vac.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.