Active NPI
Anwar Alhaddawi, MD
- Pediatrics Physician
- Secaucus, NJ
National Provider Identifier
1295822153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07022600
- Practice address
- 714 10TH St
Secaucus, NJ 07094-2921 - Phone
- (201) 863-3346
- Fax
- (201) 863-5251
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 25MA07022600 | NJ | Primary |
Addresses
Primary practice location
714 10TH St
Secaucus, NJ 07094-2921
Mailing address
714 10TH St
Secaucus, NJ 07094-2921
Phone (201) 863-3346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8203806 | Medicaid | NJ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Humc Opco LLC | Past | Accepting new patients | |
| Riverside Medical Group | Past | Accepting new patients |
Interoperability endpoints
- aalhaddawi77059@direct.optum.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Psychiatric Hospital Unit
- Hoboken, NJ
- NPI 1053576678
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295822153",
"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": "201-863-3346",
"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": "201-863-3346",
"fax_number": "201-863-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHADDAWI",
"first_name": "ANWAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07022600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8203806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.