| Dr Imran Fayyaz, MD | |
|
2107 Klockner Rd, Hamilton, NJ 08690-3403 | |
| (609) 586-1319 | |
| (609) 586-1468 |
| Full Name | Dr Imran Fayyaz |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 2107 Klockner Rd, Hamilton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952385692 | NPI | - | NPPES |
| 2150009000 | Other | NJ | AMERIHEALTH HMO |
| 9303718-002 | Other | NJ | CIGNA |
| 2401109 | Other | NJ | GHI |
| 2K2723 | Other | NJ | HEALTHNET |
| 0007528230001 | Other | NJ | ONE HEALTH PLAN |
| 2959308 | Other | NJ | AETNA HMO |
| 7204313 | Other | NJ | AETNA PPO |
| 88151 | Other | NJ | LOCAL 825 PPO |
| 8856605 | Medicaid | NJ | |
| P2646425 | Other | NJ | OXFORD |
| 1465716 | Other | NJ | AMERIHEALTH PPO |
| 222233588 | Other | NJ | HORIZON BC/BS |
| 103482 | Other | NJ | AMERICAID |
| 2124512 | Other | NJ | FIRST HEALTH |
| 163917 | Other | NJ | CHN |
| 222233588 | Other | NJ | PHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101260631 (Virginia) | Secondary |
| 174400000X | Specialist | 25MA06926000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital At Hamilton | Hamilton, NJ | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Capital Health Medical Center - Hopewell | Pennington, NJ | Hospital |
| University Medical Center Of Princeton At Plainsboro | Plainsboro, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allied Digestive Health Llc | 5991027583 | 276 |
| Sentara Medical Group | 8921903923 | 1405 |
| Entity Name | Allied Digestive Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265831259 PECOS PAC ID: 5991027583 Enrollment ID: O20141210001569 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Imran Fayyaz, MD 2107 Klockner Rd, Hamilton, NJ 08690-3403 Ph: (609) 586-1319 | Dr Imran Fayyaz, MD 2107 Klockner Rd, Hamilton, NJ 08690-3403 Ph: (609) 586-1319 |