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LINCOLN ISLAM M.D.
NPI 1649852815
General Practice in Hoboken, NJ

Active since April 26, 2021PECOS Enrolled
308 WILLOW AVE, HOBOKEN, NJ 07030(201) 418-3127 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Apr 26, 2021 (2 updates tracked since 2021).

About Lincoln Islam M.d. NPPES

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

LINCOLN ISLAM M.D. (NPI 1649852815) is an individual general practice provider in Hoboken, New Jersey, licensed in Connecticut (79087) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649852815
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLINCOLN ISLAMCredential: M.D.
Location Address308 WILLOW AVEHoboken, NJ 07030-3808
Mailing Address308 Willow AveHoboken, NJ 07030-3808
Phone(201) 418-3127
Sole ProprietorNo
Enumeration DateApril 26, 2021
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1649852815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CT · 79087
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
308 WILLOW AVE, Hoboken, NJ 07030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Lincoln Islam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,369 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Connecticut enrollment
  • 167 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

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.

DR. VICENTE Z RUIZ MD
Psychiatry & Neurology (Psychiatry)
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-1892
DR. MOUSA HADDAD M.D.
Student in an Organized Health Care Education/Training Program
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 838-8584
GIUSEPPINA DILENA RD
Dietitian, Registered
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-1143
HUMC OPCO LLC
Pharmacy (Community/Retail Pharmacy)
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-1000
KRISHNA PATEL
Registered Nurse (Emergency)
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 736-9266
DR. JAMES CANIGLIA M.D.
Emergency Medicine
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-2065
JAY P SHAH M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-1000
HUMC OPCO LLC
General Acute Care Hospital
308 WILLOW AVE
HOBOKEN, NJ 07030
Hudson County (201) 418-1000

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 Lincoln Islam's NPI number?

The NPI number for Lincoln Islam is 1649852815. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Lincoln Islam located?

Lincoln Islam practices at 308 Willow Ave, Hoboken, NJ 07030. The listed phone number is (201) 418-3127.

What is Lincoln Islam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lincoln Islam enrolled in Medicare?

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

Which organization bills Medicare for Lincoln Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lincoln Islam reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Lincoln Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lincoln Islam was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.