Active NPI
Nudrat F Ayub MD LLC
- Internal Medicine Physician
- Newark, NJ
National Provider Identifier
1609012525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08288800
- Legal business name
- NUDRAT F AYUB MD LLC
- Practice address
- 166 Lyons Ave
Newark, NJ 07112-2016 - Phone
- (973) 926-3444
- NPI assigned
- Dec 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nudrat F Ayub, MD
- Title
- Member
- Phone
- (973) 926-3444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08288800 | NJ | Primary |
Addresses
Primary practice location
166 Lyons Ave
Newark, NJ 07112-2016
Mailing address
166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2001757 | Nudrat Ayub MD, LLC | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Irvington, NJ
- NPI 1346430774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229990400000",
"number": "1609012525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122016",
"telephone_number": "973-926-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122016",
"telephone_number": "973-926-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUDRAT F AYUB MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A",
"authorized_official_last_name": "AYUB",
"authorized_official_first_name": "NUDRAT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "973-926-3444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08288800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.