Individual provider Active NPI

Nudrat F Ayub, M.D

  • Internal Medicine Physician
  • Irvington, NJ
National Provider Identifier
1346430774
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08288800 Issued in NJ
Practice address
50 Union Ave Ste 605
Irvington, NJ 07111-3262
Phone
(973) 351-6000
Fax
(973) 351-6001
NPI assigned
Aug 1, 2007
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08288800 NJ Primary

Addresses

Primary practice location

50 Union Ave Ste 605
Irvington, NJ 07111-3262

Mailing address

8 Coventry Rd
Mendham, NJ 07945-1516
Phone (973) 351-6000

Other identifiers 2

IdentifierTypeStateIssuer
46785OtherNJUHP- NON PAR #
0155055MedicaidNJ

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
I20080305000647 NJ Practitioner - Internal Medicine 4789769423 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-3444

50 Union Ave
Suite 605
Irvington, NJ 07111-3262
Phone (973) 351-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Beth Israel Medical Center Inc CurrentSince Oct 18, 2007 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Oct 18, 2007 Accepting new patients
Irvington Primary Care LLC CurrentSince Nov 8, 2013 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Sep 15, 2012 Accepting new patients
Nudrat F Ayub MD LLC Internal Medicine CurrentSince Dec 4, 2008 Accepting new patients
Livingston Hospital Physicians, P.a. CurrentSince Feb 1, 2008 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
University Hospital Past Accepting new patients
Imperial Medical Group Limited Liability Company Internal Medicine PastSince Feb 24, 2022 Accepting new patients
Nbimc Hospitalist Internal Medicine Past Accepting new patients

Locations

50 Union Ave
Ste 605
Irvington, NJ 07111
Phone (973) 351-6000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

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

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 10

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 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1346430774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COVENTRY RD",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451516",
            "telephone_number": "973-351-6000",
            "fax_number": "973-351-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 605",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113262",
            "telephone_number": "973-351-6000",
            "fax_number": "973-351-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUB",
        "first_name": "NUDRAT",
        "middle_name": "F",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08288800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP- NON PAR #",
            "identifier": "46785",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155055",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.