| Imperial Medical Group Limited Liability Company | |
|
201 Lyons Ave Dept Of Medicine, Newark Beth Israel Medical Center Newark NJ 07112-2027 | |
| (201) 407-3835 | |
| Not Available |
| Full Name | Imperial Medical Group Limited Liability Company |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Lyons Ave, Newark, New Jersey |
| Authorized Official Name and Position | Nausher Ahmad (PRESIDENT) |
| Authorized Official Contact | 2014073835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Medical Group Limited Liability Company 8 Maida Rd Edison NJ 08820-2530 Ph: (201) 407-3835 | Imperial Medical Group Limited Liability Company 201 Lyons Ave Dept Of Medicine, Newark Beth Israel Medical Center Newark NJ 07112-2027 Ph: (201) 407-3835 |
| NPI Number | 1326165192 |
|---|---|
| Provider Enumeration Date | 03/24/2007 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 3779689328 |
|---|---|
| Medicare Enrollment ID | O20070428000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326165192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0400148972 (New Jersey) | Primary |
| Provider Name | Nausher Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245291996 PECOS PAC ID: 9234155755 Enrollment ID: I20051025000040 |
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