Individual provider Active NPI

Behzad Ahkami, MD

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1649469321
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA04650600 Issued in NJ
Practice address
506 Hamburg Tpke
Suite 103
Wayne, NJ 07470-2068
Phone
(973) 471-5444
Fax
(973) 778-0848
NPI assigned
Oct 18, 2007
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA04650600 NJ Primary

Addresses

Primary practice location

506 Hamburg Tpke
Suite 103
Wayne, NJ 07470-2068

Mailing address

506 Hamburg Tpke
Suite 103
Wayne, NJ 07470-2068
Phone (973) 471-5444

Other names 1

  • Dr. Behzad Ahkami Other name

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
I20040802001044 NJ Practitioner - Psychiatry 0547231870 Reassigns benefits to 1 organization
Practice locations: Wayne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

506 Hamburg Tpke
Suite 103
Wayne, NJ 07470-2068
Phone (973) 471-5444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04650600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Aug 1, 2015 Accepting new patients
Behzad Ahkami M.D PastSince Jan 1, 1990 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: behzad.ahkami@behzadahkami.ehi.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1649469321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE",
            "address_2": "SUITE 103",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702068",
            "telephone_number": "973-471-5444",
            "fax_number": "973-778-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE",
            "address_2": "SUITE 103",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702068",
            "telephone_number": "973-471-5444",
            "fax_number": "973-778-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHKAMI",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04650600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEHZAD",
            "last_name": "AHKAMI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.