Kaleem Ahmad, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Marmora, NJ
NPI 1629065982 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1629065982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- MA062569 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Regional Cancer Care Associates LLC
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
- Shore Medical Center
- Cape Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.06 of 100
- Quality
- 67.94
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917001103 | NJ | Practitioner - Hematology/Oncology | 8921155854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062569 | NJ | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Hematology & Oncology | Current |
Accepting new patients |
| Regional Cancer Care Associates LLC | Hematology & Oncology | Current |
Accepting new patients |
| Preferred Hospital Leasing Inc | Past | Accepting new patients | |
| Hope Community Cancer Center, LLC | Hematology & Oncology | Past | Accepting new patients |
Locations
211 N Main St
Ste 100
Cape May Court House, NJ 08210
Phone (609) 536-8414
25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
20 Prospect Ave
Fl 4
Hackensack, NJ 07601
Phone (201) 996-2740
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MA062569 | NJ | Yes |
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
Other providers in Marmora, NJ
- 4Crippens LLC
- Active Health Marmora LLC
- Beth Anne Addis
- Anchored Adolescent & Child Psychiatry LLC
- Atlanitcare Physician Group
- Atlanticare Physician Group PA
- Avelino Cruz MD PC
- Sonia Maria Baez
All providers in Marmora, NJ · Hematology & Oncology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.