Imperial Medical Group Limited Liability Company

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0400148972 Issued in NJ

Legal business name

IMPERIAL MEDICAL GROUP LIMITED LIABILITY COMPANY

Practice address

201 Lyons Ave
Dept of Medicine, Newark Beth Israel Medical Center
Newark, NJ 07112-2027

Phone

(201) 407-3835

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Nausher Ahmad, M.D.NPI 1245291996

Title

President

Phone

(201) 407-3835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nausher Ahmad, MD

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1245291996
  Medicare reassignment NPD Authorized official
• Nudrat F Ayub, M.D

  • Internal Medicine Physician
  • Irvington, NJ
  • NPI 1346430774
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1326165192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAIDA RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202530",
            "telephone_number": "201-407-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "DEPT OF MEDICINE, NEWARK BETH ISRAEL MEDICAL CENTER",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "201-407-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MEDICAL GROUP LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NAUSHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-407-3835",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "0400148972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immedi-Care PA
• Immedicare
• Catherine Walsh Imossi, MD, MBA
• Nicholas Sebastian-Jude Imperato, DO, MPH
• Imperial Caregivers LLC
• Independence Home Care Enterprises LLC
• Indu Madhok LLC
• Jacquelin A Infante, LSW
• Kara Lynn Infante
• Karla Infante

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.