Individual provider Active NPI

Tanveer Ahmad, MD

  • Specialist
  • Lakewood, NJ
National Provider Identifier
1962464495
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA051086 Issued in NJ
Practice address
1255 Route 70 Ste 23S
Lakewood, NJ 08701-5900
Phone
(732) 534-0736
Fax
(732) 534-0737
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA051086 NJ Primary

Addresses

Primary practice location

1255 Route 70 Ste 23S
Lakewood, NJ 08701-5900

Mailing address

1255 Route 70 Ste 23S
Lakewood, NJ 08701-5900
Phone (732) 534-0736

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WEBSITE Direct

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
I20041206000000 NJ Practitioner - Cardiovascular Disease (Cardiology) 5991761629 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA051086NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Jan 27, 2024 Accepting new patients
Premier Choice Cardiology CurrentSince Jan 15, 2023 Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
Kimball Medical Center House Staff/Ekg Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Locations

150 Chambers Bridge Rd
Brick, NJ 08723
Phone (732) 920-4500

150 Chambers Bridge Rd
Ste 101
Brick, NJ 08723
Phone (732) 475-7800

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1255 Highway 70
Ste 23
Lakewood, NJ 08701

525 Route 70
Ste B10
Lakewood, NJ 08701
Phone (732) 534-0736

1255 Route 70
Ste 23S
Lakewood, NJ 08701
Phone (732) 534-0736

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509678/r4
  • Direct secure messaging: tanveer.ahmad@premierchoicecardiology.chartmakerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Cardiovascular Interpretive Services PC 60 clinicians

Practice addresses (Care Compare)

1255 Route 70
Suite 23S
Lakewood, NJ 08701-5900
Phone (732) 534-0736

150 Chambers Bridge Rd
Suite 101
Brick, NJ 08723-3491
Phone (732) 475-7800

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-3370

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1962464495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 23S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-534-0736",
            "fax_number": "732-534-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 23S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-534-0736",
            "fax_number": "732-534-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "TANVEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA051086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEBSITE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 Route 70 Ste B10",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087015847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.