Individual provider Active NPI

Ali Zomorodi, MD

  • Psychiatry Physician
  • Hillsborough, NJ
National Provider Identifier
1679601348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA03024600 Issued in NJ
Practice address
407 Omni Dr
Hillsborough, NJ 08844-4527
Phone
(908) 359-3779
Fax
(908) 359-5356
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA03024600 NJ Primary

Addresses

Primary practice location

407 Omni Dr
Hillsborough, NJ 08844-4527

Mailing address

407 Omni Dr
Hillsborough, NJ 08844-4527
Phone (908) 359-3779

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
I20040803000180 NJ Practitioner - Psychiatry 1850362088 Reassigns benefits to 1 organization
Practice locations: Hillsborough, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03024600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Carrier Behavioral Health Inc CurrentSince Jan 1, 1989 Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679601348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "908-359-3779",
            "fax_number": "908-359-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444527",
            "telephone_number": "908-359-3779",
            "fax_number": "908-359-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMORODI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03024600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.