Active NPI
Hatem Ahmed
- Contractor
- Paterson, NJ
National Provider Identifier
1730074147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 872783395000
- Practice address
- 217 Getty Avenue
Unit 1F
Paterson, NJ 07503 - Phone
- (646) 683-0594
- NPI assigned
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 872783395000 | NJ | Primary |
Addresses
Primary practice location
217 Getty Avenue
Unit 1F
Paterson, NJ 07503
Mailing address
252 N 10TH St FL 1
Prospect Park, NJ 07508-2008
Phone (646) 683-0594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872783395000 | NJ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1730074147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 N 10TH ST FL 1",
"city": "PROSPECT PARK",
"state": "NJ",
"postal_code": "075082008",
"telephone_number": "646-683-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 GETTY AVENUE",
"address_2": "UNIT 1F",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "646-683-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "HATEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "872783395000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.