Individual provider Active NPI

Muhammad Tahir Selevany, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1588758809
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06471000 Issued in NJ
Practice address
1003 Main Ave
Clifton, NJ 07011-2333
Phone
(973) 777-9595
Fax
(973) 777-1311
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06471000 NJ Primary

Addresses

Primary practice location

1003 Main Ave
Clifton, NJ 07011-2333

Mailing address

397 Haledon Ave
Ste 104
Haledon, NJ 07508-1551
Phone (973) 777-9595

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
I20040615000989 NJ Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Other (Physician) 5496738304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

397 Haledon Ave
Suite 104
Haledon, NJ 07508-1551
Phone (973) 595-1122

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Obstetrics &Gynecelogy Medical Group,Inc Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: selevany.muhammad.002.0300068@aogmg.meditab.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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1588758809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 HALEDON AVE",
            "address_2": "STE 104",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081551",
            "telephone_number": "973-777-9595",
            "fax_number": "973-777-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112333",
            "telephone_number": "973-777-9595",
            "fax_number": "973-777-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEVANY",
        "first_name": "MUHAMMAD",
        "middle_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06471000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.