Individual provider Active NPI

Mohammad Tehranirad, M.D.

  • Hospitalist Physician
  • Jersey City, NJ
National Provider Identifier
1356516082
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA08517400 Issued in NJ
Practice address
1 River CT
Apt # 406
Jersey City, NJ 07310-2001
Phone
(703) 944-6639
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MA08517400 NJ Primary

Addresses

Primary practice location

1 River CT
Apt # 406
Jersey City, NJ 07310-2001

Mailing address

1 River CT
Apt # 406
Jersey City, NJ 07310-2001
Phone (703) 944-6639

Other identifiers 4

IdentifierTypeStateIssuer
P00836921OtherNJRR MEDICARE - TEANECK HOSPITALISTS
0190543MedicaidNJ
48088OtherNJUHP-PHYS ASSOC OF TEANECK
P00765827OtherNJRR MEDICARE

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
I20090415000442 NJ Practitioner - HospitalistPractitioner - Internal Medicine 6901965367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hoboken, NJ 07030
Phone (201) 639-4657

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Dec 15, 2023 Accepting new patients
Pioneer Medical, LLC CurrentSince Dec 14, 2011 Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

Interoperability endpoints

  • Direct secure messaging: mtehranirad188854@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1356516082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER CT",
            "address_2": "APT # 406",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102001",
            "telephone_number": "703-944-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVER CT",
            "address_2": "APT # 406",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102001",
            "telephone_number": "703-944-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANIRAD",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA08517400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - TEANECK HOSPITALISTS",
            "identifier": "P00836921",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190543",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP-PHYS ASSOC OF TEANECK",
            "identifier": "48088",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00765827",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.