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

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: October 25, 2026.

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid0083577NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mohammed Islam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Belmont Behavioral Hospital, LLC
14 mi
Mental Health (Including Community Mental Health Center)
11600 CAROLINE RD
Philadelphia, PA 19154
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1346621448 (215) 632-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-1550
UNION ASSOCIATION OF THE CHILDRENS HOME OF BURLINGTON COUNTY
Residential Treatment Facility, Emotionally Disturbed Children
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-1550
LEGACY TREATMENT SERIVCES, INC.
Psychiatric Residential Treatment Facility
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-5656
LEGACY TREATMENT SERVICES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 288-3067
UNION ASSOCIATION OF THE CHILDRENS HOME OF BURLINGTON COUNTY
Residential Treatment Facility, Emotionally Disturbed Children
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-1550
LEGACY TREATMENT SERIVCES, INC.
Psychiatric Residential Treatment Facility
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-5656
UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY
Residential Treatment Facility, Emotionally Disturbed Children
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-1550
LEGACY TREATMENT SERIVCES, INC.
Psychiatric Residential Treatment Facility
243 PINE ST
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-5656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Mohammed Islam located?

Mohammed Islam practices at 243 Pine St, Mount Holly, NJ 08060. The listed phone number is (609) 267-1550.

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.

Is Mohammed Islam enrolled in Medicare?

Yes. Mohammed Islam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammed Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Islam reassigns Medicare benefits to Belmont Behavioral Hospital, LLC (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohammed Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Islam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mohammed Islam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.