Individual provider Active NPI

Mumtaz Ahmad Niazi, MD

  • Hepatology Physician
  • Newark, NJ
National Provider Identifier
1528087509
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
25MA07924400 Issued in NJ
Practice address
140 Bergen St # D-1650
Newark, NJ 07103
Phone
(973) 972-9000
Fax
(973) 972-8325
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07924400 NJ
Hepatology Physician 207RI0008X 25MA07924400 NJ Primary

Addresses

Primary practice location

140 Bergen St # D-1650
Newark, NJ 07103

Mailing address

30 Bergen St RM 1205
Newark, NJ 07107-3000

Other practice location 1

185 S Orange Ave # Msbh-254
Newark, NJ 07103
Phone (973) 972-5252

Other practice location 2

185 S Orange Ave # Msbh-254
Newark, NJ 07103
Phone (973) 972-5252

Other identifiers 2

IdentifierTypeStateIssuer
60063701MedicaidSD
232664784OtherPATAXID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mniazi19331@direct-uhnj.org Direct University Hospital

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
I20090508000552 NJ Practitioner - Internal Medicine 6002918745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07924400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Internal Medicine CurrentSince Nov 15, 2017 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients
University Hospital Past Accepting new patients
Vital Medical Forces of Denville PC Internal Medicine Past Accepting new patients

Locations

222 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 261-9077

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

140 Bergen St
#D1650
Newark, NJ 07103
Phone (973) 972-9000

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

140 Bergen St
Ste 1600
Newark, NJ 07103

Interoperability endpoints

  • Direct secure messaging: mumtaz.niazi@avera.sdhealthlink.net

Organizations & group practices 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1528087509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST RM 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST # D-1650",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-9000",
            "fax_number": "973-972-8325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave # Msbh-254",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07103",
            "country_code": "US",
            "telephone_number": "973-972-5252",
            "fax_number": "973-972-3144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 S Orange Ave # Msbh-254",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07103",
            "country_code": "US",
            "telephone_number": "973-972-5252",
            "fax_number": "973-972-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "MUMTAZ",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07924400",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NJ",
            "license": "25MA07924400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60063701",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "232664784",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mniazi19331@direct-uhnj.org",
            "affiliation": "Y",
            "endpointDescription": "Epic",
            "affiliationName": "University Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.