NPIMap

Individual provider Active NPI

Mir Sharif Ahmad, MD

  • Internal Medicine Physician
  • North Brunswick, NJ
National Provider Identifier
1649336264
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA62819 Issued in NJ
Practice address
1950 Route 27 Suite F
North Brunswick, NJ 08902
Phone
(732) 422-8440
Fax
(732) 422-8404
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA62819 NJ Primary
Pulmonary Disease Physician 207RP1001X MA62819 NJ

Addresses

Primary practice location

1950 Route 27 Suite F
North Brunswick, NJ 08902

Mailing address

1950 Route 27 Suite F
North Brunswick, NJ 08902
Phone (732) 422-8440

Other identifiers 1

IdentifierTypeStateIssuer
7473605MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000476 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7012184310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Clyde Rd
Suite 102
Somerset, NJ 08873-5043
Phone (732) 422-8440

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Somerset Woods Rehabilitation & Nursing Center Nursing home, Somerset, NJ, CCN 315520
  • Accelerate Skilled Nursing and Rehab Piscataway Nursing home, Piscataway, NJ, CCN 315522

Merit-based Incentive Payment System (MIPS)

Final score
79.34 of 100Reported as individual
Quality
92.26
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62819NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Central Jersey,PA CurrentSince Jul 1, 1997 Accepting new patients
Somerset Woods Rehabilitation and Nursing Center LLC Past Accepting new patients

Locations

1950 State Route 27
Ste F
North Brunswick, NJ 08902
Phone (732) 422-8440

21 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 422-8440

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Somerset Woods Rehabilitation and Nursing Center LLCSomerset, NJ, CCN 315520 Skilled nursing facility Adp of the SNF Apr 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1649336264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROUTE 27 SUITE F",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-422-8440",
            "fax_number": "732-422-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROUTE 27 SUITE F",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-422-8440",
            "fax_number": "732-422-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MIR",
        "middle_name": "SHARIF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62819",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA62819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7473605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.