Individual provider Active NPI

Fuad Ahmad, MD

  • Internal Medicine Physician
  • Pompton Lakes, NJ
National Provider Identifier
1750350120
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA63444 Issued in NJ
Practice address
191 Hamburg Tpke
Suite 2
Pompton Lakes, NJ 07442-2330
Phone
(973) 831-6557
Fax
(973) 831-6552
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 MA63444 NJ Primary

Addresses

Primary practice location

191 Hamburg Tpke
Suite 2
Pompton Lakes, NJ 07442-2330

Mailing address

191 Hamburg Tpke
Suite 2
Pompton Lakes, NJ 07442-2330
Phone (973) 831-6557

Other identifiers 1

IdentifierTypeStateIssuer
7024100MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA63444NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1750350120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "address_2": "SUITE 2",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422330",
            "telephone_number": "973-831-6557",
            "fax_number": "973-831-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "address_2": "SUITE 2",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422330",
            "telephone_number": "973-831-6557",
            "fax_number": "973-831-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA63444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7024100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.