DR. IMTIAZ AHMAD (NPI# 1720146384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720146384 |
| Entity Type | Individual |
| Full Name | DR. IMTIAZ AHMAD |
| Credential | M.D. |
| Practice Address |
308 Willow Ave. Hoboken NJ 07030-3808 |
| Mailing Address |
4567 Crossroads Park Drive Liverpool NY 13088-3589 |
| Practice Telephone | 2014181420 |
| Practice Fax Number | 2014181983 |
| Mailing Telephone | 3152952100 |
| Mailing Fax Number | 2014540136 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA03908600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3626202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803212 | Imtiaz M Ahmad | Family Medicine | 11580 Overlook Drive, Suite100, Clarian Urgent Care, Fishers, IN 46038-4212 | 2005-12-29 |
| 1962494997 | Imtiaz Ahmad | Radiology | 127 South Broadway, Yonkers, NY 10701-4006 | 2005-08-16 |
| 1174521009 | Imtiaz Ahmad | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2005-07-13 |
| 1699307504 | Imtiaz Ahmad | Pharmacist | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2020-02-08 |
| 1952817165 | Imtiaz Ahmad | Physical Medicine & Rehabilitation | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2017-12-26 |
| 1265509988 | Imtiaz Ahmad | Internal Medicine | 2832 Linden Blvd, Brooklyn, NY 11208-5132 | 2006-11-29 |
| 1184661704 | Imtiaz Ahmad | Internal Medicine | 1760 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3535 | 2006-06-01 |
| Street Address |
308 WILLOW AVE. |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649345794 | Alfred O Fayemi | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-11-22 |
| 1316005531 | Kamini P Vaidya | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649345794 | Alfred O Fayemi | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-11-22 |
| 1831250901 | Hoboken Pathology Associates Pa | Pathology | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2006-12-13 |
| 1316005531 | Kamini P Vaidya | Pathology | 308 Willow Ave., Hoboken, NJ 07030-3808 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
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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.