Organization Active NPI

Mohammad Ayub Bajwa M.D., P. a.

  • Specialist
  • Bloomfield, NJ
National Provider Identifier
1598068090
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03281800 Issued in NJ
Legal business name
MOHAMMAD AYUB BAJWA M.D., P. A.
Practice address
14 Washington St
Bloomfield, NJ 07003
Phone
(973) 429-0601
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Mohammad Ayub Bajwa, M.D.NPI 1720162951
Title
Dr.
Phone
(973) 429-0601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA03281800 NJ Primary

Addresses

Primary practice location

14 Washington St
Bloomfield, NJ 07003

Mailing address

14 Washington St
Bloomfield, NJ 07003
Phone (973) 429-0601

National Provider Directory

National Provider Directory

Locations

14 Washington St
Bloomfield, NJ 07003
Phone (973) 429-0601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1598068090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WASHINGTON ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-429-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WASHINGTON ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-429-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD AYUB BAJWA M.D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AYUB",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "973-429-0601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03281800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.