Sameera Daud-ahmed | |
725 River Rd Ste 106 Edgewater NJ 07020-1170 | |
(201) 781-5850 | |
(201) 781-5850 |
Full Name | Sameera Daud-ahmed |
---|---|
Speciality | Internal Medicine |
Location | 725 River Rd Ste 106, Edgewater, New Jersey |
Authorized Official Name and Position | Sameera Daud-ahmed (OWNER) |
Authorized Official Contact | 2017815850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sameera Daud-ahmed 725 River Rd Ste 106 Edgewater NJ 07020-1170 Ph: (201) 781-5850 | Sameera Daud-ahmed 725 River Rd Ste 106 Edgewater NJ 07020-1170 Ph: (201) 781-5850 |
NPI Number | 1124606504 |
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Provider Enumeration Date | 03/29/2021 |
Last Update Date | 05/12/2021 |
Medicare PECOS PAC ID | 6406263607 |
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Medicare Enrollment ID | O20210407000076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124606504 | NPI | - | NPPES |
PENDING | Medicaid | NJ | |
1N8423 | Other | NJ | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Grishma Parikh |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1649210345 PECOS PAC ID: 5395703078 Enrollment ID: I20041228000594 |
Provider Name | Kathe L Olohan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356566541 PECOS PAC ID: 5193802510 Enrollment ID: I20080410000058 |
Provider Name | Kathy M Tigue |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1619191632 PECOS PAC ID: 4688759673 Enrollment ID: I20090312000446 |
Provider Name | Sameera Daud Ahmad |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1073700381 PECOS PAC ID: 5597815928 Enrollment ID: I20090922000647 |
Provider Name | Maureen Kane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386986032 PECOS PAC ID: 1759630239 Enrollment ID: I20180816000536 |
Provider Name | Byung Suk Lim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093321663 PECOS PAC ID: 2961822556 Enrollment ID: I20201021000209 |
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