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

Q: 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.

Q: What is Lincoln Islam's specialty?

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

Q: 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 20 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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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)