Active NPIIndividual provider

Iqtidar Mansoor

Family Medicine in Brick, New Jersey

NPI Number1144961756
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
—
Last updated
May 30, 2025

Iqtidar Mansoor is a Family Medicine based in Brick, NJ. Iqtidar Mansoor practices in Brick, NJ. The NPI Number for Iqtidar Mansoor is 1144961756 and holds a License No. 25MA12548800 (NJ). The current practice location address for Iqtidar Mansoor is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-840-2200.

Provider Profile Details

NPI Number
1144961756
Provider Name
Iqtidar Mansoor
Provider Entity Type
Individual
Gender
Male
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
732-840-2200
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2022
Last Update Date
May 30, 2025
Certification Date
May 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
732-840-2200
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
159 Newman Ave
Bayonne, NJ 07002-2452
City
Bayonne
State
NJ
Zip
07002-2452
Phone Number
551-221-4990

License Information

License Number (2)
25MA12548800
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Iqtidar Mansoor?

The NPI number of Iqtidar Mansoor is 1144961756. It was assigned on April 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Iqtidar Mansoor?

Iqtidar Mansoor is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA12548800.

Where does Iqtidar Mansoor practice?

The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-840-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144961756 directly on the NPPES registry website.

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