Individual provider Active NPI

Ziyad Al Ola, MD

  • Family Medicine Physician
  • Waldwick, NJ
National Provider Identifier
1295756401
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08268700 Issued in NJ
Practice address
140 Franklin Tpke
Waldwick, NJ 07463-1847
Phone
(201) 447-3603
Fax
(201) 447-5184
NPI assigned
Jul 22, 2006
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08268700 NJ Primary

Addresses

Primary practice location

140 Franklin Tpke
Waldwick, NJ 07463-1847

Mailing address

140 Franklin Tpke
Waldwick, NJ 07463-1847
Phone (201) 447-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1877NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Glen Family Practice PLLC Family Medicine PastSince Aug 1, 2003 Accepting new patients
Wvva Health Care Alliance, PC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Alleghany Hospitalists LLC Past Accepting new patients

Organizations & group practices 4

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1295756401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631847",
            "telephone_number": "201-447-3603",
            "fax_number": "201-447-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631847",
            "telephone_number": "201-447-3603",
            "fax_number": "201-447-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL OLA",
        "first_name": "ZIYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08268700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.