Provider Demographics
NPI:1356473912
Name:AHMAD. A. MUR, MD PA
Entity Type:Organization
Organization Name:AHMAD. A. MUR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-595-1199
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08855-0423
Mailing Address - Country:US
Mailing Address - Phone:908-595-1199
Mailing Address - Fax:
Practice Address - Street 1:503 OMNI DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4528
Practice Address - Country:US
Practice Address - Phone:908-595-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06176600207R00000X
207R00000X
NJNR09842000363LA2100X
NJ26NN05625400363LA2200X
NJ26NJ00058600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1123132OtherNEW JERSEY DIRECT
NJ0091588Medicaid
NJ2184884OtherAETNA
NJP2040214OtherOXFORD
NJ2184884OtherAETNA
NJ055494Medicare ID - Type Unspecified