NPIMap

Individual provider Active NPI

Mahmoodah Perveen, MD

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1841206208
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06978000 Issued in NJ
Practice address
534 Avenue E Ste 1D
Bayonne, NJ 07002-3987
Phone
(201) 858-8700
Fax
(201) 436-7825
NPI assigned
Jul 31, 2006
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 25MA06978000 NJ Primary

Addresses

Primary practice location

534 Avenue E Ste 1D
Bayonne, NJ 07002-3987

Mailing address

PO Box 459
Iselin, NJ 08830
Phone (201) 858-8700

Other identifiers 1

IdentifierTypeStateIssuer
8033803MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000252 NJ Practitioner - Internal Medicine 5890753297 Practice locations: Jersey City, NJ; Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

198 Old Bergen Rd
Jersey City, NJ 07305-2622
Phone (201) 433-0950

29 E 29TH St
Bayonne Medical Center
Bayonne, NJ 07002-4654
Phone (201) 858-5318

534 Ave E
Suite 1D
Bayonne, NJ 07002-3987
Phone (201) 858-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Hypertension and Renal Group, P.a. Past Accepting new patients
Nicola a. Vernese M.D., PC Past Accepting new patients
Ijkg Opco LLC Past Accepting new patients
Mahmoodah Perveen,MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

Interoperability endpoints

  • Direct secure messaging: mperveen@direct.bayonnemedicalcenter.md

Organizations & group practices 5

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 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1841206208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "201-858-8700",
            "fax_number": "201-436-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 AVENUE E STE 1D",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023987",
            "telephone_number": "201-858-8700",
            "fax_number": "201-436-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEEN",
        "first_name": "MAHMOODAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06978000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8033803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.