Amjad Nazeer MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA45416 Issued in NJ

Legal business name

AMJAD NAZEER MD PA

Practice address

22 Howard Blvd
Suite 103
Mt Arlington, NJ 07856-1532

Phone

(973) 398-0870

Fax

(973) 398-4357

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amjad Nazeer, MD

Title

President

Phone

(973) 398-0870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891870689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 103",
            "city": "MT. ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-398-0870",
            "fax_number": "973-398-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 103",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-398-0870",
            "fax_number": "973-398-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMJAD NAZEER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZEER",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-398-0870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA45416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.