Provider Demographics
NPI:1407317514
Name:AHMED, NAFIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:NAFIS
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3155 STATE ROUTE 10 STE 215
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3430
Mailing Address - Country:US
Mailing Address - Phone:973-895-3288
Mailing Address - Fax:862-276-2018
Practice Address - Street 1:3155 STATE ROUTE 10 STE 215
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3430
Practice Address - Country:US
Practice Address - Phone:973-895-3288
Practice Address - Fax:862-276-2018
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00365000213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist