Active NPI
Lawrence Farid Mahdi, M.D.
- Cardiovascular Disease Physician
- Bloomfield, NJ
National Provider Identifier
1689607103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04828100
- Practice address
- 329 Belleville Ave
Bloomfield, NJ 07003-3600 - Phone
- (973) 748-3800
- Fax
- (973) 748-3540
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04828100 | NJ | Primary |
Addresses
Primary practice location
329 Belleville Ave
Bloomfield, NJ 07003-3600
Mailing address
329 Belleville Ave
Bloomfield, NJ 07003-3600
Phone (973) 748-3800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223557137 | Other | NJ | BLUE SHIELD |
| 223557137 | Other | NJ | COMMERCIAL INSURANCE |
| ES442 | Other | NJ | OXFORD |
| 1879901 | Medicaid | NJ | |
| OK7728 | Other | NJ | PHS |
| 060055314 | Other | NJ | RAILROAD MEDICARE |
| 18351 | Other | NJ | US AETNA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101130001202 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 6406804095 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 39.4 of 100
- Quality
- 43.33
- Improvement activities
- 0
- Cost
- 73.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lawrence.mahdi@njccl-nj.direct.office.nextgen.com
- lmahdi188781@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1689607103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 BELLEVILLE AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033600",
"telephone_number": "973-748-3800",
"fax_number": "973-748-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 BELLEVILLE AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033600",
"telephone_number": "973-748-3800",
"fax_number": "973-748-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHDI",
"first_name": "LAWRENCE",
"middle_name": "FARID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA04828100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "223557137",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "223557137",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ES442",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1879901",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "OK7728",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060055314",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US AETNA",
"identifier": "18351",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.