| Mujtaba Qureshi, DPM | |
| 25 Prospect Ave, Hackensack, NJ 07601-1960 | |
| (201) 343-2277 | |
| (201) 343-7410 | 
| Full Name | Mujtaba Qureshi | 
|---|---|
| Gender | Male | 
| Speciality | Podiatrist | 
| Location | 25 Prospect Ave, Hackensack, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043880503 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00380200 (New Jersey) | Secondary | 
| 213E00000X | Podiatrist | 25MD00380200 (New Jersey) | Primary | 
| Provider Name | Summit Medical Group Pa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mujtaba Qureshi, DPM 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Mujtaba Qureshi, DPM 25 Prospect Ave, Hackensack, NJ 07601-1960 Ph: (201) 343-2277 | 
| Dr. Farzana N Chowdhury, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 25 Prospect Ave, Hackensack, NJ 07601 Phone: 201-343-2277 | |
| Elena Blanco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 125 Prospect Ave, Hackensack, NJ 07601 Phone: 210-488-7577 Fax: 201-488-1807 | |
| Morris Robert Morin, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 125 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-7577 Fax: 201-488-1807 | |
| Dr. Sara Mateen, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
| Dr. John Guadara, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24 Bergen St, Suite 1, Hackensack, NJ 07601 Phone: 201-488-8599 Fax: 201-488-4953 | |
| Elena Blanco, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 125 Prospect Ave, Hackensack, NJ 07601 Phone: 201-488-7577 Fax: 201-488-1807 |