Organization Active NPI

Saleem Mahmood, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1730596057
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALEEM MAHMOOD, M.D.
Practice address
8 Jordan Ave
Jersey City, NJ 07306
Phone
(201) 432-5744
Fax
(201) 432-2720
NPI assigned
Jul 18, 2014
Organization subpart
Yes
Parent organization
SALEEM MAHMOODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Mr. Saleem Mahmood, M.DNPI 1700991247
Title
Owner
Phone
(201) 432-5744

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924000075 NJ Part B Supplier - Clinic/Group Practice 1456570480 Receives reassigned benefits from 2 practitioners
Practice locations: Basking Ridge, NJ

National Provider Directory

National Provider Directory
Part of
Saleem Mahmood MD PC

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1730596057",
    "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": {
        "organization_name": "SALEEM MAHMOOD, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEEM MAHMOOD",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-432-5744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.