Individual provider Active NPI

Adeel Ajwad Butt, MD

  • Infectious Disease Physician
  • Edison, NJ
National Provider Identifier
1710959770
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA12594400 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(732) 321-7502
Fax
(732) 549-8532
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD417735 PA
Infectious Disease Physician 207RI0200X MD417735 PA
Infectious Disease Physician 207RI0200X 25MA12594400 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

PO Box 1167
Mars, PA 16046-1167
Phone (412) 648-6401

Other practice location 1

1 Hospital Plz
Old Bridge, NJ 08857-3012
Phone (732) 321-7502

Other practice location 2

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 321-7502

Other practice location 3

200 Lothrop St
Suite 3A, Falk Medical Building
Pittsburgh, PA 15213-2546
Phone (412) 648-6401

Other identifiers 1

IdentifierTypeStateIssuer
001877120MedicaidPA

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
I20250406000068 NJ Practitioner - Infectious Disease 0042378226 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD417735PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Infectious Disease Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1710959770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160461167",
            "telephone_number": "412-648-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7502",
            "fax_number": "732-549-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573012",
            "country_code": "US",
            "telephone_number": "732-321-7502",
            "fax_number": "732-549-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613654",
            "country_code": "US",
            "telephone_number": "732-321-7502",
            "fax_number": "732-549-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lothrop St",
            "address_2": "Suite 3A, Falk Medical Building",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132546",
            "country_code": "US",
            "telephone_number": "412-648-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTT",
        "first_name": "ADEEL",
        "middle_name": "AJWAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD417735",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD417735",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA12594400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001877120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.