Active NPI
Ahmad John Haddad, MD
- Family Medicine Physician
- Red Bank, NJ
National Provider Identifier
1982686457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 370 Hwy 35
Ste 101
Red Bank, NJ 07701-5922 - Phone
- (732) 758-0048
- Fax
- (732) 758-0052
- NPI assigned
- Nov 18, 2005
- Last updated
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NJ | Primary |
Addresses
Primary practice location
370 Hwy 35
Ste 101
Red Bank, NJ 07701-5922
Mailing address
PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67D161 | Other | NY | EMPIRE BCBS |
| 8484199 | Other | NJ | CIGNA HEALTHCARE |
| 0312703 | Medicaid | NJ | |
| MP173 | Other | NJ | OXFORD HEALTH PLANS |
| 0K4751 | Other | NJ | HEALTH NET |
| 875522 | Other | AETNA HMO |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.97 of 100
- Quality
- 69.67
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA4330200 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima Urgent Care | Past | Accepting new patients |
Interoperability endpoints
- ahmad.haddad@ima.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Shrewsbury, NJ
- NPI 1649252776
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1982686457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8519",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077018519",
"telephone_number": "732-460-9840",
"fax_number": "732-460-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HWY 35",
"address_2": "STE 101",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015922",
"telephone_number": "732-758-0048",
"fax_number": "732-758-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "AHMAD",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "67D161",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "8484199",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0312703",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "MP173",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0K4751",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "875522",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
- Hackensack Meridian Health Medical Group - Complex Care PC (HMHMG Complex Care)
- Hackensack Meridian Health Medical Group - Primary Care PC (HMHMG Primary Care)
- Hackensack Meridian Health Medical Group - Specialty Care PC (HMHMG Specialty Care)
- Hackensack Meridian Health Medical Group - Specialty Care PC
- Hackensack Meridian Outpatient Services, Inc.
- Richard Haddad, MD
- Kayvon Haghighi, DDS, MD, FACS
- Kevin Farrier Hall, LCADC
- George W Halliwell III, LPC
- Colleen Halloran
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.