Organization Active NPI

Fauzia Hameed, MD, LLC

  • Internal Medicine Physician
  • Woodbridge, NJ
National Provider Identifier
1346515707
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06835600 Issued in NJ
Legal business name
FAUZIA HAMEED, MD, LLC
Practice address
616 Amboy Ave
Woodbridge, NJ 07095-3164
Phone
(732) 599-3998
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Fauzia HameedNPI 1750479705
Title
Member
Phone
(732) 599-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA06835600 NJ Primary

Addresses

Primary practice location

616 Amboy Ave
Woodbridge, NJ 07095-3164

Mailing address

616 Amboy Ave
Woodbridge, NJ 07095-3164
Phone (732) 599-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000489 NJ Part B Supplier - Clinic/Group Practice 1658533716 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, NJ

National Provider Directory

National Provider Directory

Locations

616 Amboy Ave
Ste 2
Woodbridge, NJ 07095
Phone (732) 636-1010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1346515707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953164",
            "telephone_number": "732-599-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953164",
            "telephone_number": "732-599-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUZIA HAMEED, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "HAMEED",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-599-3998"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06835600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.