NPIMap

Individual provider Active NPI

Mohammed Farrukh Nizam, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Edison, NJ
National Provider Identifier
1326145764
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MA065165 Issued in NJ
Practice address
98 James Street
Suite 301
Edison, NJ 08820
Phone
(732) 738-8830
Fax
(732) 738-8831
NPI assigned
Sep 20, 2006
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MA065165 NJ Primary
Clinical Neurophysiology Physician 2084N0600X MA065165 NJ

Addresses

Primary practice location

98 James Street
Suite 301
Edison, NJ 08820

Mailing address

98 James Street, Suite 301
Suite 301
Edison, NJ 08820
Phone (732) 738-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001259 NJ Practitioner - Neurology 9739174905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 James St
Suite 301
Edison, NJ 08820-3902
Phone (732) 494-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065165NJMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Farrukh Nizam, MD, LLC Neurology With Special Qualifications in Child Neurology CurrentSince Jul 8, 2009 Accepting new patients
Taimur Zaman,MD.PC Neurology With Special Qualifications in Child Neurology Past Accepting new patients

Locations

225 May St
Ste D
Edison, NJ 08837
Phone (732) 738-8830

98 James St
Ste 301
Edison, NJ 08820
Phone (732) 494-0100

503 Omni Dr
Hillsborough, NJ 08844
Phone (908) 222-9940

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1326145764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES STREET, SUITE 301",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-738-8830",
            "fax_number": "732-738-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES STREET",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-738-8830",
            "fax_number": "732-738-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAM",
        "first_name": "MOHAMMED",
        "middle_name": "FARRUKH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "MA065165",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "MA065165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.