Provider Demographics
NPI:1124606504
Name:METROPOLITAN ENDOCRINOLOGY, LLC
Entity Type:Organization
Organization Name:METROPOLITAN ENDOCRINOLOGY, LLC
Other - Org Name:SAMEERA DAUD-AHMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUD-AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-781-5850
Mailing Address - Street 1:725 RIVER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1170
Mailing Address - Country:US
Mailing Address - Phone:201-781-5850
Mailing Address - Fax:201-781-5850
Practice Address - Street 1:725 RIVER RD STE 106
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1170
Practice Address - Country:US
Practice Address - Phone:201-781-5850
Practice Address - Fax:201-781-5850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJPENDINGMedicaid
NJ1N8423OtherMEDICARE PIN