Individual provider Active NPI

Mohammad Ashfaq, MD

  • Psychiatry Physician
  • Atlantic City, NJ
National Provider Identifier
1689690414
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07013500 Issued in NJ
Practice address
12 N Providence Ave
Atlantic City, NJ 08401-3504
Phone
(609) 348-1161
NPI assigned
Jul 14, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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 25MA07013500 NJ Primary

Addresses

Primary practice location

12 N Providence Ave
Atlantic City, NJ 08401-3504

Mailing address

PO Box 1086
Pleasantville, NJ 08232-6086

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
I20101216000898 NJ Practitioner - Psychiatry 8022206002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone (609) 348-1161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07013500NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 12, 2023 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jul 12, 2023 Accepting new patients
Atlanticare Behavioral Health, Inc. CurrentSince Jun 1, 2003 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Jun 1, 2003 Accepting new patients
Atlanticare Behavioral Health, Inc. Past Accepting new patients

Locations

12 N Providence Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2009 Bacharach Blvd
Atlantic City, NJ 08401
Phone (609) 344-5714

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1689690414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PROVIDENCE AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013504",
            "telephone_number": "609-348-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHFAQ",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07013500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.