Provider Demographics
NPI:1083640965
Name:NOORMOHAMED, AKBAR HUSSAIN (DO)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:HUSSAIN
Last Name:NOORMOHAMED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4918
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0052
Practice Address - Street 1:111 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1909
Practice Address - Country:US
Practice Address - Phone:973-877-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08025000207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00355190OtherRAILROAD MEDICARE
NJ2736071000OtherAMERIHEALTH OF NJ
NJ60026407OtherHORIZON NJ HEALTH
NJXK1701OtherHEALTH NET
NJ0109860Medicaid
NJ103599UXKMedicare PIN
NJXK1701OtherHEALTH NET
NJ2736071000OtherAMERIHEALTH OF NJ
NJI60589Medicare UPIN
NJP00355190OtherRAILROAD MEDICARE