Bisma Alam, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Hackensack, NJ
NPI 1780004895 · NPPES record last updated Jul 13, 2020
Key facts
- NPI
- 1780004895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 25MA10602700 (NJ)
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-1330
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Physicians of New Jersey PA
Practice addresses (Care Compare)
65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000
Hospital & facility affiliations
- JFK University Medical Center
- Hackensack University Medical Center
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 |
|---|---|---|---|---|
| I20200826000146 | NJ | Practitioner - Critical Care (Intensivists) | 5496172256 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10602700 | NJ | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hospitalist Physicians of New Jersey PA | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients |
Locations
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- bisma.alam@direct.hackensackmeridian.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA10602700 | NJ | Yes |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1330
Other providers in Hackensack, NJ
- Ruth N Akindele
- Olabisi Shade Akinmorin
- Salem Michael Akke
- Noor Al-Husayni
- Abdulla Al-Khan
- Alan M. Tell, MD
- Alana Med Invalid Coach LLC
- Lucia Alarcon
- Ajaybhaskar Reddy Alavala
- John Richard Albanese III
All providers in Hackensack, NJ · Critical Care Medicine (Internal Medicine) 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 13, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.