MOHAMMED NAZRUL ISLAM M.D.
NPI 1558472977
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mount Holly, NJ

Q: What is Mohammed Islam's NPI number?

The NPI number for Mohammed Islam is 1558472977. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Mohammed Islam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Mohammed Islam was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006PECOS Enrolled

243 PINE ST, MOUNT HOLLY, NJ 08060(609) 267-1550 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mohammed Nazrul Islam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMMED NAZRUL ISLAM M.D. (NPI 1558472977) is an individual child & adolescent psychiatry provider in Mount Holly, New Jersey, licensed in New Jersey (25MA07918000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Princeton, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1558472977

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMOHAMMED NAZRUL ISLAMCredential: M.D.

Location Address243 PINE STMount Holly, NJ 08060-2201

Mailing Address23 Annapolis DrMarlton, NJ 08053-3833 · (267) 779-5239

Phone(609) 267-1550

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 24, 2020

NPPES CertifiedAugust 24, 2020

✔ NPI 1558472977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · 25MA07918000

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 25MA07918000 (NJ)

243 PINE ST, Mount Holly, NJ 08060

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Secondary Practice Location 1

Location 1905 Herrontown RdPrinceton, NJ 08540-1901 · Phone (609) 497-3300 · Fax (609) 497-3370

Other Identifiers 1

Medicaid0083577NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammed Nazrul Islam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446278436

PECOS Enrollment IDI20120803000486

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

29 services16 patients

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY

Residential Treatment Facility, Emotionally Disturbed Children