Mohammad Ayub Bajwa, MD
Individual provider Active NPI Gastroenterology Physician · Bloomfield, NJ
NPI 1720162951 · NPPES record last updated Jul 8, 2010
Key facts
- NPI
- 1720162951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 25MA03281800 (NJ)
- Practice address
- 14 Washington Street
Bloomfield, NJ 07003 - Phone
- (973) 429-0601
- Fax
- (973) 429-3305
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101119000945 | NJ | Practitioner - Internal Medicine |
4385830082 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA03281800 | NJ | Yes |
Addresses
Primary practice location
14 Washington Street
Bloomfield, NJ 07003
Mailing address
14 Washington Street
Bloomfield, NJ 07003
Phone (973) 429-0601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2964406 | Medicaid | NJ |
Other providers in Bloomfield, NJ
- Marina M Awadalla
- Sherlaine Baas
- Arielle Michelle Baeza
- Carol A Bainbridge
- Charles Vincent Bainbridge
- Balanced Therapy Solutions LLC
- Sara Ban
- Kenneth Bannerman
- Chantel Barbarise
- Judith I Barley
All providers in Bloomfield, NJ · Gastroenterology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.