NPIMap

Individual provider Active NPI

Saleem Mahmood, MD

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1700991247
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA64358 Issued in NJ
Practice address
8 Jordan Ave
Jersey City, NJ 07306
Phone
(201) 432-5744
Fax
(201) 432-2720
NPI assigned
Aug 21, 2006
Last updated
Jan 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA64358 NJ Primary

Addresses

Primary practice location

8 Jordan Ave
Jersey City, NJ 07306

Mailing address

66 Emerald Valley LN
Basking Ridge, NJ 07920-3443
Phone (201) 432-5744

Other identifiers 1

IdentifierTypeStateIssuer
7065507MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000144 NJ Practitioner - Internal Medicine 8820061849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Emerald Valley LN
Basking Ridge, NJ 07920-3443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64358NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saleem Mahmood, M.D. Internal Medicine CurrentSince Oct 23, 1996 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Jersey City Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: saleem.mahmood@direct.christhospital.md
  • Direct secure messaging: saleem.mahmood@direct.rwjbh.org

Organizations & group practices 4

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1700991247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 EMERALD VALLEY LN",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203443",
            "telephone_number": "201-432-5744",
            "fax_number": "201-432-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JORDAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-432-5744",
            "fax_number": "201-432-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SALEEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA64358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7065507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.