Individual provider Active NPI

Tariq Mahmood, MD, FNP

  • Family Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1619386414
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00508100 Issued in NJ
Practice address
203 Academy St
207
Jersey City, NJ 07306-2456
Phone
(201) 218-8422
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00508100 NJ Primary

Addresses

Primary practice location

203 Academy St
207
Jersey City, NJ 07306-2456

Mailing address

203 Academy St
207
Jersey City, NJ 07306-2456
Phone (201) 218-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223002542 NJ Practitioner - Nurse Practitioner 6204131634 Reassigns benefits to 8 organizations
I20170321000233 NY Practitioner - Nurse Practitioner 6204131634 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
181St Street Medical PCGroup PAC ID 8022242130, 8 clinicians

Practice addresses (Care Compare)

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 853-7272

521 W 181St St
New York, NY 10033-5102
Phone 7328735133425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339583NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 11, 2023 Accepting new patients
Jersey Irish Medical CurrentSince Apr 7, 2018 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Oct 7, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Nov 11, 2023 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Oct 7, 2017 Accepting new patients
Divinity Medical Services PLLC CurrentSince Jan 19, 2022 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Cogent Healthcare of New Jersey, PC CurrentSince Jun 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Liberty Medical Associates, LLC CurrentSince Jul 1, 2024 Accepting new patients
North Bergen Hospitalists CurrentSince Nov 1, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 4, 2016 Accepting new patients
Audubon Primary Care Medicine PLLC CurrentSince Feb 5, 2017 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 4, 2016 Accepting new patients
CCN General Medicine PLLC CurrentSince Feb 5, 2017 Accepting new patients
181St Street Medical P.C. CurrentSince Feb 5, 2017 Accepting new patients
Golding Granado Medical Associates PastSince Oct 7, 2017 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

506 Central Ave
#B
Orange, NJ 07050
Phone (201) 218-8422

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

203 Gramatan Ave
Ste A
Mount Vernon, NY 10550
Phone (860) 212-9307

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

521 W 181st St
New York, NY 10033
Phone (212) 281-9472

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

Organizations & group practices 17

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.

View all 17

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1619386414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ACADEMY ST",
            "address_2": "207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062456",
            "telephone_number": "201-218-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ACADEMY ST",
            "address_2": "207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062456",
            "telephone_number": "201-218-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "TARIQ",
        "name_prefix": "Mr.",
        "credential": "MD, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00508100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.