DR. MOHAMMED FARRUKH NIZAM (NPI# 1326145764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326145764 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED FARRUKH NIZAM |
| Credential | MD |
| Practice Address |
98 James St Suite 301 Edison NJ 08820-3902 |
| Practice Telephone | 7324940100 |
| Practice Fax Number | 7324940114 |
| Mailing Telephone | 7324940100 |
| Mailing Fax Number | 7324940114 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MA065165 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MA065165 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203514 | Mohammed Soubhi Nizam | Internal Medicine | 1055 N 500 W Ste 205, Provo, UT 84604-3305 | 2008-07-28 |
| 1407895089 | Mohammed Nizam | Obstetrics & Gynecology | 950 Park Ave, New York, NY 10028-0320 | 2006-06-06 |
| Street Address |
98 JAMES ST SUITE 301 |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497760 | Lolita A Garcia | Registered Nurse | 98 James St, Ste 313, Edison, NJ 08820-3902 | 2005-06-16 |
| 1659971976 | Heather Ann Tadej | Nurse Practitioner | 98 James St, Edison, NJ 08820-3902 | 2020-10-27 |
| 1760039119 | Agi Naya Takinan | Nurse Practitioner | 98 James St, Edison, NJ 08820-3902 | 2019-08-21 |
| 1043866510 | Dipali Shah | Physician Assistant | 98 James St, Edison, NJ 08820-3902 | 2019-08-12 |
| 1477092021 | Amy Graziano | Nutritionist | 98 James St, Suite 103, Edison, NJ 08820-3902 | 2017-02-15 |
| 1962809236 | Chintan Modi Md LLC | Internal Medicine | 98 James St, Suite 200, Edison, NJ 08820-3902 | 2014-12-02 |
| 1659710473 | Prosthodontic Associates of New Jersey Professional Association | Dentist | 98 James St, Suite 303, Edison, NJ 08820-3902 | 2013-06-14 |
| 1124360029 | Kataneh Maleki Md LLC | Internal Medicine | 98 James St, Unit 104, Edison, NJ 08820-3902 | 2013-03-19 |
| 1033461108 | Central Jersey Ophthalmology,pa | Ophthalmology | 98 James St, Suite 210, Edison, NJ 08820-3902 | 2012-10-12 |
| 1497032924 | Amit M Vora Dds LLC | Dentist | 98 James St, Suite 306, Edison, NJ 08820-3902 | 2011-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700012804 | M. Farrukh Nizam, Md, LLC | Psychiatry & Neurology | 98 James St, Suite 301, Edison, NJ 08820-3902 | 2009-06-03 |
| 1306005038 | Savitra M Bandari | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2008-06-06 |
| 1669649828 | Lewis M. Milrod, M.d., P.C. | Psychiatry & Neurology | 80 State Route 27, Edison, NJ 08820-3985 | 2008-05-15 |
| 1346314507 | Xue Ming | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2006-11-20 |
| 1326060740 | Yongming Mao | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.