USMAN AHMED MD
NPI 1639533276
Psychiatry & Neurology - Psychiatry in Perth Amboy, NJ

Active since April 10, 2016PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861(410) 818-6014(732) 324-5139 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2024, Apr 27, 2021 (2 updates tracked since 2021).

About Usman Ahmed Md NPPES

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

USMAN AHMED MD (NPI 1639533276) is an individual psychiatry provider in Perth Amboy, New Jersey, licensed in New Jersey (25MA10694400) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1639533276
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameUSMAN AHMEDCredential: MD
Location Address530 NEW BRUNSWICK AVEPerth Amboy, NJ 08861-3654
Mailing Address3600 Route 66 Fl 3Neptune, NJ 07753-2645 · (410) 818-6014 · Fax (201) 751-1680
Fax(732) 324-5139
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 10, 2016
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1639533276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA10694400
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
530 NEW BRUNSWICK AVE, Perth Amboy, NJ 08861

Secondary Practice Location 1

Location 11 Brookdale PlzBrooklyn, NY 11212-3139 · Phone (718) 240-6347

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Usman Ahmed Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244658102
PECOS Enrollment IDI20200910000059, I20221014001590
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 Reassignments

7

Medicare enrollment records show Usman Ahmed reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Child & Adolescent Psychiatry
530 NEW BRUNSWICK AVE
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 3 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
117 ROOSEVELT AVE
Plainfield, NJ 07060
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
37 mi
Mental Health
1400 HOOPER AVE STE 2
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group

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 4

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.
312 services136 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
122 services118 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

Other Providers at the Same Location NPPES 20

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

Anesthesiology
530 NEW BRUNSWICK AVE, DIVISION OF ANESTHESIOLOGY, RARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
Internal Medicine (Cardiovascular Disease)
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Internal Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861

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 Usman Ahmed's NPI number?

The NPI number for Usman Ahmed is 1639533276. It was assigned to this individual provider in the NPPES registry on April 10, 2016.

Where is Usman Ahmed located?

Usman Ahmed practices at 530 New Brunswick Ave, Perth Amboy, NJ 08861. The listed phone number is (410) 818-6014.

What is Usman Ahmed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Usman Ahmed enrolled in Medicare?

Yes. Usman Ahmed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Usman Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usman Ahmed reassigns Medicare benefits to 7 organizations: Uam & R LLC (Perth Amboy, NJ), Centerpath Wellness, Inc (Plainfield, NJ), Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and 2 more organizations, listed in the Medicare section above. Each 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 Usman Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usman Ahmed accept?

Health plans from Oscar Health list Usman Ahmed 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.

Is Usman Ahmed affiliated with any hospitals?

According to CMS data, Usman Ahmed is affiliated with Raritan Bay Medical Center, Ocean Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Usman Ahmed was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.