Individual provider Active NPI

Javedul Islam, MD

  • Family Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1457491599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA07774600 Issued in NJ
Practice address
200 US Highway 46
Parsippany, NJ 07054-2313
Phone
(973) 882-0444
Fax
(973) 882-3217
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA07774600 NJ Primary

Addresses

Primary practice location

200 US Highway 46
Parsippany, NJ 07054-2313

Mailing address

200 US Highway 46
Parsippany, NJ 07054-2313
Phone (973) 882-0444

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
I20050419000480 NJ Practitioner - Family Practice 3779521943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prompt MD LLCGroup PAC ID 9739236779, 4 clinicians
Adam Alex LLCGroup PAC ID 3274859376, 4 clinicians

Practice addresses (Care Compare)

309 1St St
Hoboken, NJ 07030-2440
Phone (201) 222-8411

725 River Rd
Suite 27
Edgewater, NJ 07020-1149
Phone (201) 941-1555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07774600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Adam Alex, LLC Family Medicine CurrentSince Dec 24, 2014 Accepting new patients

Locations

725 River Rd
Ste 27
Edgewater, NJ 07020
Phone (201) 500-9877

2059 Hudson St
Fort Lee, NJ 07024
Phone (201) 222-8411

309 1st St
Hoboken, NJ 07030
Phone (201) 222-8411

Interoperability endpoints

  • Direct secure messaging: javedul.islam@direct.hobokenumc.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457491599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542313",
            "telephone_number": "973-882-0444",
            "fax_number": "973-882-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542313",
            "telephone_number": "973-882-0444",
            "fax_number": "973-882-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "JAVEDUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07774600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.