Faheem Mumin Nuruddin

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Practice address

158 South Harrison Street #3G
East Orange, NJ 07018

Phone

(973) 280-6261

NPI assigned

Apr 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Asun Star Consulting, Inc.

  • Multi-Specialty Clinic/Center
  • East Rutherford, NJ
  • NPI 1972015287
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1396130712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 SOUTH HARRISON STREET #3G",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 SOUTH HARRISON STREET #3G",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-280-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURUDDIN",
        "first_name": "FAHEEM",
        "middle_name": "MUMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Marie Norton, MA NCC LPC
• Nova Dental Group PC
• Nurse Bridge Health
• Nurses Express LLC
• Nursesvue Careertek Care LLC
• Christiana Chioma Nwachukwu
• Chinwe Genevive Nwaigwe
• Ifeoma Nwankwo
• Lakeena Sharain Nyame, DOULA TAXONOMY
• Torbjoern George Nygaard, M.D.

• Addiction (Substance Use Disorder) Psychologist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Addiction (Substance Use Disorder) Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.