Individual provider Active NPI

Abdul Qadir, M.D.

  • Specialist
  • Pleasantville, NJ
National Provider Identifier
1902809742
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA64342 Issued in NJ
Practice address
1004 S New Rd
Pleasantville, NJ 08232-3730
Phone
(609) 652-4141
Fax
(609) 652-9939
NPI assigned
May 24, 2005
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA64342 NJ Primary

Addresses

Primary practice location

1004 S New Rd
Pleasantville, NJ 08232-3730

Mailing address

1004 S New Rd
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

Other identifiers 1

IdentifierTypeStateIssuer
7313101MedicaidNJ

Other names 1

  • Abdul Qadir Other name

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
I20050527000030 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 7719929983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1004 S New Rd
Pleasantville, NJ 08232-3730
Phone (609) 926-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64342NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Pain Care PC CurrentSince Dec 24, 2011 Accepting new patients
Preferred Anesthesia Associates, PC Past Accepting new patients
Liberty Pain Center, LLC Specialist Past Accepting new patients
Liberty Anesthesia, PC Past Accepting new patients
Regional Internal Medicine Associates, PC PastSince May 4, 2021 Accepting new patients

Locations

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

1004 S New Rd
Ste B
Pleasantville, NJ 08232

405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600

Interoperability endpoints

  • Direct secure messaging: abdul.qadir@ehi.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1902809742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADIR",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA64342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7313101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "QADIR",
            "credential": "MD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.