Active NPI
Rafat Ahmed, M.D
- Pediatric Hematology & Oncology Physician
- Camden, NJ
National Provider Identifier
1629223847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MA07939000
- Practice address
- 3 Cooper PLZ
Suite 200
Camden, NJ 08103-1438 - Phone
- (856) 342-2001
- Fax
- (856) 963-2499
- NPI assigned
- Dec 2, 2008
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 237572 | NY | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MA07939000 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 200
Camden, NJ 08103-1438
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA07939000 | Other | NJ | STATE LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07939000 | NJ | MD | Pediatric Hematology & Oncology Physician |
| 237572 | NY | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Pediatric Specialists, PC | Current | Accepting new patients | |
| Clara Maass Medical Center House Physicians | Past | Accepting new patients |
Locations
1 Cooper Plz
Bldg 7TH
Camden, NJ 08103
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
Interoperability endpoints
- rahmed21025@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Internal Medicine Physician
- Belleville, NJ
- NPI 1861441883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1629223847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2001",
"fax_number": "856-963-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "RAFAT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "237572",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NJ",
"license": "MA07939000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MA07939000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.