Organization Active NPI

M. Mohammed Nisar MD PA

  • Hematology & Oncology Physician
  • Edison, NJ
National Provider Identifier
1356457725
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
M. MOHAMMED NISAR MD PA
Practice address
1895 Oak Tree Rd
Edison, NJ 08820-2122
Phone
(732) 548-1833
Fax
(732) 906-3156
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Mohammed Nisar, M.D.NPI 1124114343
Title
Doctor
Phone
(732) 548-1833

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1895 Oak Tree Rd
Edison, NJ 08820-2122

Mailing address

1895 Oak Tree Rd
Edison, NJ 08820-2122
Phone (732) 548-1833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116000591 NJ Part B Supplier - Clinic/Group Practice 5092943225 Receives reassigned benefits from 2 practitioners
Practice locations: South Amboy, NJ; Edison, NJ

National Provider Directory

National Provider Directory

Locations

1895 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-1833

949 US Highway 9
South Amboy, NJ 08879

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1356457725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202122",
            "telephone_number": "732-548-1833",
            "fax_number": "732-906-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202122",
            "telephone_number": "732-548-1833",
            "fax_number": "732-906-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. MOHAMMED NISAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-548-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.