Individual provider Active NPI

Mohamad M Anwar, DPM

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1639796774
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P105261 Issued in NY
Practice address
355 Bard Ave
Staten Island, NY 10310-1699
Phone
(718) 818-1234
NPI assigned
Jul 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P105261 NY Primary

Addresses

Primary practice location

355 Bard Ave
Staten Island, NY 10310-1699

Mailing address

29 Mountain Ave
Hawthorne, NJ 07506-3309
Phone (732) 688-6773

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712003156 NJ Practitioner - Podiatry 2062872823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gands Medical Associates LLCGroup PAC ID 0244404697, 17 clinicians

Practice addresses (Care Compare)

606 Broadway
Paterson, NJ 07514-1916
Phone (908) 240-8142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue55
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P105261NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
G&S Medical Associates LLC Podiatrist CurrentSince Jul 1, 2023 Accepting new patients

Locations

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

293 Monroe St
Passaic, NJ 07055
Phone (973) 773-5568

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

34 Mill St
Paterson, NJ 07501
Phone (973) 341-3782

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1639796774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MOUNTAIN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063309",
            "telephone_number": "732-688-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101699",
            "telephone_number": "718-818-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "MOHAMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "P105261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.