Organization Active NPI

Nadeem Ul Haque MD PC

  • Specialist
  • Bayonne, NJ
National Provider Identifier
1700085867
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA59398 Issued in NJ
Legal business name
NADEEM UL HAQUE MD PC
Practice address
631 Broadway
Suite B2
Bayonne, NJ 07002
Phone
(201) 823-4400
Fax
(201) 471-7545
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Nadeem Ul Haque, M.D.NPI 1538121926
Title
President
Phone
(201) 823-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA59398 NJ Primary

Addresses

Primary practice location

631 Broadway
Suite B2
Bayonne, NJ 07002

Mailing address

PO Box 1807
Bayonne, NJ 07002-6807
Phone (201) 823-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000081 NJ Part B Supplier - Clinic/Group Practice 3870555691 Receives reassigned benefits from 1 practitioner
Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Locations

86 W 33rd St
Apt 109
Bayonne, NJ 07002
Phone (201) 823-4400

535 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1700085867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070026807",
            "telephone_number": "201-823-4400",
            "fax_number": "201-471-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROADWAY",
            "address_2": "SUITE B2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-823-4400",
            "fax_number": "201-471-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEEM UL HAQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-823-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA59398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.