Organization Active NPI

Medical Associates of Central Jersey,PA

  • Medical Specialty Clinic/Center
  • Somerset, NJ
National Provider Identifier
1972653624
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA062819 Issued in NJ
Legal business name
MEDICAL ASSOCIATES OF CENTRAL JERSEY,PA
Practice address
21 Clyde Rd Ste 102
Somerset, NJ 08873-5043
Phone
(732) 422-8440
Fax
(732) 422-8404
NPI assigned
Jan 12, 2007
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. Mir Sharif Ahmad, MDNPI 1649336264
Title
President
Phone
(732) 422-8440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA062819 NJ Primary
Primary Care Clinic/Center 261QP2300X MA062819 NJ

Addresses

Primary practice location

21 Clyde Rd Ste 102
Somerset, NJ 08873-5043

Mailing address

21 Clyde Rd Ste 102
Somerset, NJ 08873-5043
Phone (732) 422-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120126000452 NJ Part B Supplier - Clinic/Group Practice 8022285329 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

200 Evans Way
#2
Branchburg, NJ 08876
Phone (908) 203-1181

1950 State Route 27
Ste F
North Brunswick, NJ 08902
Phone (732) 422-8440

21 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 422-8440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1972653624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735043",
            "telephone_number": "732-422-8440",
            "fax_number": "732-422-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735043",
            "telephone_number": "732-422-8440",
            "fax_number": "732-422-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CENTRAL JERSEY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "SHARIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-422-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA062819",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA062819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.