Active NPIIndividual providerSole proprietor

Ayesha Imtiaz, MD

Student in an Organized Health Care Education/Training Program in Brick, New Jersey

NPI Number1497332167
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
—
Last updated
March 26, 2021

Ayesha Imtiaz is a Student in an Organized Health Care Education/Training Program based in Brick, NJ. Ayesha Imtiaz practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Ayesha Imtiaz is 1497332167. The current practice location address for Ayesha Imtiaz 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
1497332167
Provider Name
Ayesha Imtiaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
732-840-2200
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2021
Last Update Date
March 26, 2021
Certification Date
March 24, 2021
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
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
State
NJ
Zip
08724-7732
Phone Number
732-840-2200

License Information

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 Ayesha Imtiaz, MD?

The NPI number of Ayesha Imtiaz, MD is 1497332167. It was assigned on March 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Ayesha Imtiaz, MD?

Ayesha Imtiaz, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Ayesha Imtiaz, MD 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 1497332167 directly on the NPPES registry website.

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