Provider Demographics
NPI:1700855772
Name:PADELA, MOHAMMAD FEROZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:FEROZ
Last Name:PADELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:86 DAVINCI DR
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-3502
Mailing Address - Country:US
Mailing Address - Phone:973-471-3730
Mailing Address - Fax:484-351-8810
Practice Address - Street 1:718 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-869-6868
Practice Address - Fax:201-379-5708
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA056887207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7004508Medicaid
NJ704673Medicare ID - Type Unspecified
NJG15462Medicare UPIN