Walead Latif, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MB08675400 Issued in NJ

Practice address

2401 Morris Ave
Suite W112
Union, NJ 07083-5745

Phone

(908) 686-0123

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Nephrology

Education

Rowan University School of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Interventional Associates, LLC 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.94

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walead.latif.p113@direct.aac.nextgenshare.com
• Direct secure messaging: walead.latif.p20@direct.aac.nextgenshare.com

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

• New Jersey Interventional Associates, LLC

  • Vascular & Interventional Radiology Physician
  • Union, NJ
  • NPI 1629226428

  NJ

  Medicare reassignment Care Compare group NPD
• Access Care Physicians of NJ LLC

  • Vascular & Interventional Radiology Physician
  • Woodland Park, NJ
  • NPI 1649217787

  NJ

  Medicare reassignment NPD
• New Jersey Interventional Associates LLC

  • Ambulatory Surgical Clinic/Center
  • Union, NJ
  • NPI 1255894051
  Care Compare group NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1891738555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY",
            "address_2": "#100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MORRIS AVE",
            "address_2": "SUITE W112",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835745",
            "telephone_number": "908-686-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "WALEAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229086",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB08675400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216097",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Landau, RN, APN
• Whitney Lane, LPC
• Laparoscopic Edge, PC
• Rachael Mi Laparre
• Lauren Luisa Laporta, DDS
• Anna Carissa Latorre, APN
• Alicia Lauber, DPT
• Lynn Marie Laucik, MA LPC CADC
• Mary Lavecchia
• Debra Ann Lawlor, R.PH

• All providers in Union, NJ
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.