Individual provider Active NPI

Kaleem Ahmad, M.D.

  • Hematology & Oncology Physician
  • Marmora, NJ
National Provider Identifier
1629065982
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA062569 Issued in NJ
Practice address
210 S Shore Rd
Suite 106
Marmora, NJ 08223-1200
Phone
(609) 390-7888
Fax
(609) 390-2614
NPI assigned
Oct 3, 2005
Last updated
May 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA062569 NJ Primary

Addresses

Primary practice location

210 S Shore Rd
Suite 106
Marmora, NJ 08223-1200

Mailing address

210 S Shore Rd
Suite 106
Marmora, NJ 08223-1200
Phone (609) 390-7888

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
I20100917001103 NJ Practitioner - Hematology/Oncology 8921155854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 S Shore Rd
Suite 106
Marmora, NJ 08223-1271
Phone (844) 346-7222

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as individual
Quality
67.94
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062569NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Nov 15, 2011 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Nov 15, 2011 Accepting new patients
Hope Community Cancer Center, LLC Hematology & Oncology Past Accepting new patients
Preferred Hospital Leasing Inc Past Accepting new patients

Locations

211 N Main St
Ste 100
Cape May Court House, NJ 08210
Phone (609) 536-8414

20 Prospect Ave
Fl 4
Hackensack, NJ 07601
Phone (201) 996-2740

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

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

180 White Rd
Ste 106
Little Silver, NJ 07739
Phone (201) 510-0904

210 Route US 9 S
Ste 106
Marmora, NJ 08223
Phone (609) 390-7888

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1629065982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S SHORE RD",
            "address_2": "SUITE 106",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S SHORE RD",
            "address_2": "SUITE 106",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "KALEEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA062569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

Verify at the official NPI Registry.