M. FARRUKH NIZAM, MD, LLC
NPI 1700012804
Psychiatry & Neurology - Neurology in Edison, NJ
About M. Farrukh Nizam, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
M. FARRUKH NIZAM, MD, LLC (NPI 1700012804) is a healthcare organization registered as a neurology in Edison, New Jersey and active in the NPI registry since June 2009. The organization lists Mohammed Farrukh Nizam, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
M. Farrukh Nizam, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to M. Farrukh Nizam, MD, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M. Farrukh Nizam, MD, LLC's NPI number?
The NPI number for M. Farrukh Nizam, MD, LLC is 1700012804. It was assigned to this organization in the NPPES registry on June 3, 2009.
Where is M. Farrukh Nizam, MD, LLC located?
M. Farrukh Nizam, MD, LLC is located at 98 James St Suite 301, Edison, NJ 08820. The listed phone number is (732) 494-0100.
What is M. Farrukh Nizam, MD, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is M. Farrukh Nizam, MD, LLC enrolled in Medicare?
Yes. M. Farrukh Nizam, MD, LLC is registered in the Medicare PECOS enrollment system.
When is M. Farrukh Nizam, MD, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through M. Farrukh Nizam, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Neurology, reassign their Medicare billing to M. Farrukh Nizam, MD, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for M. Farrukh Nizam, MD, LLC was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# M. Farrukh Nizam, Md, Llc · NPI 1700012804
Neurology organization in Edison, New Jersey. Organization record, active in the CMS NPPES registry since June 3, 2009.
## Identity
- **NPI:** 1700012804 (Entity type: Organization)
- **Enumerated:** June 3, 2009
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Mohammed Nizam, PHYSICIAN
## Practice location
- **Address:** 98 JAMES ST, SUITE 301, Edison, NJ 08820-3902
- **Phone:** (732) 494-0100 · **Fax:** (732) 494-0114
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Neurology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1700012804) · Data from the CMS NPPES public registry.