Active NPI
Hadir Mohamed, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA11447100
- Practice address
- 22-02 Broadway Ste 304
Fair Lawn, NJ 07410-3016 - Phone
- (551) 246-3193
- NPI assigned
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA11447100 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA11447100 | NJ | Primary |
Addresses
Primary practice location
22-02 Broadway Ste 304
Fair Lawn, NJ 07410-3016
Mailing address
567 Spruce LN
Franklin Lakes, NJ 07417-2418
Phone (201) 321-5426
Other practice location 1
22-02 Broadway
Fair Lawn, NJ 07410-3016
Phone (862) 297-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0862487 | Medicaid | NJ |
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 Compare- Specialty
- Endocrinology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 -02 Broadway
Suite 304
Fair Lawn, NJ 07410-3016
Phone (551) 246-3193
Hospital & facility affiliations
- Englewood Hospital and Medical Center
- St Mary'S General Hospital
- St Joseph'S University Medical Center Inc
- Chilton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11447100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Multi-Specialty | Current | Accepting new patients |
| Lincoln Medical Center | General Acute Care Hospital | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
22-02 Broadway
Ste 304
Fair Lawn, NJ 07410
Phone (551) 246-3193
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7730
1124 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 493-2310
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Multi-Specialty
-
- General Acute Care Hospital
- Franklin Lakes, NJ
- NPI 1487007589
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1992158141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 SPRUCE LN",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172418",
"telephone_number": "201-321-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22-02 BROADWAY STE 304",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "551-246-3193"
}
],
"practiceLocations": [
{
"address_1": "22-02 Broadway",
"address_purpose": "LOCATION",
"city": "Fair Lawn",
"state": "NJ",
"postal_code": "074103016",
"country_code": "US",
"telephone_number": "862-297-9696",
"fax_number": "862-297-9695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMED",
"first_name": "HADIR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11447100",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA11447100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0862487",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.