Individual provider Active NPI

Seherisch Ahmad

  • Pediatrics Physician
  • North Brunswick, NJ
National Provider Identifier
1336609015
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11496900 Issued in NJ
Practice address
1970 8TH St
North Brunswick, NJ 08902-4533
Phone
(732) 347-5110
NPI assigned
Mar 20, 2019
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X
Pediatrics Physician 208000000X 25MA11496900 NJ Primary

Addresses

Primary practice location

1970 8TH St
North Brunswick, NJ 08902-4533

Mailing address

1970 8TH St
North Brunswick, NJ 08902-4533
Phone (732) 347-5110

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
I20230110003211 NJ Practitioner - Pediatric Medicine 5395115265 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care Multi-Specialty CurrentSince Sep 29, 2022 Accepting new patients
Morristown Emergency Medical Associates LLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Multi-Specialty CurrentSince Sep 29, 2022 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1336609015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 8TH ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024533",
            "telephone_number": "732-347-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 8TH ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024533",
            "telephone_number": "732-347-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SEHERISCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11496900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.