Individual provider Active NPI

Syed Fahim Ahmed, MD

  • Internal Medicine Physician
  • Green Brook, NJ
National Provider Identifier
1821022799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06637200 Issued in NJ
Practice address
1005 North Washington Ave
Green Brook, NJ 08812
Phone
(732) 968-8900
Fax
(732) 968-4609
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA06637200 NJ Primary

Addresses

Primary practice location

1005 North Washington Ave
Green Brook, NJ 08812

Mailing address

1005 North Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001324 NJ Practitioner - Internal MedicinePractitioner - Family Practice 8224220363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medemerge LLCGroup PAC ID 1456340595, 22 clinicians

Practice addresses (Care Compare)

1005 N Washington Ave
Green Brook, NJ 08812-2619
Phone (732) 968-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medemerge LLC CurrentSince Jan 1, 2020 Accepting new patients
Robert Wood Johnson University Hospital Inc Past Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900

1005 N Washington Ave
#890
Green Brook, NJ 08812
Phone (732) 968-1217

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1039
  • FHIR API: https://fhir-myrecord.cerner.com/r4/xYxhuXIFsLg59PaSNJv_x-piAtPKX3W8/
  • Direct secure messaging: sahmed59134@epicdirect.rwjbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821022799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NORTH WASHINGTON AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8900",
            "fax_number": "732-968-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NORTH WASHINGTON AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8900",
            "fax_number": "732-968-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "FAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06637200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

Verify at the official NPI Registry.