FAHMENA ISLAM
NPI 1912527094
Nurse Anesthetist, Certified Registered in Berkeley Heights, NJ

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD FL 3, BERKELEY HEIGHTS, NJ 07922(908) 277-8872(908) 464-4930 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2022, Apr 20, 2020 (2 updates tracked since 2020).

About Fahmena Islam NPPES

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

FAHMENA ISLAM (NPI 1912527094) is an individual nurse anesthetist, certified registered in Berkeley Heights, New Jersey, licensed in New Jersey (26NJ01039800) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and maintains a secondary practice location in Montclair.

NPPES Registry Identity

NPI1912527094
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameFAHMENA ISLAM
Location Address1 DIAMOND HILL RD FL 3Berkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Fax(908) 464-4930
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 20, 2020
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1912527094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NJ · 26NJ01039800
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR19615200 (NJ)
1 DIAMOND HILL RD FL 3, Berkeley Heights, NJ 07922

Secondary Practice Location 1

Location 11 Bay AveMontclair, NJ 07042-4837 · Phone (973) 429-6000

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

Fahmena Islam 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 ID3173941309
PECOS Enrollment IDI20200918002604
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

3

Medicare enrollment records show Fahmena Islam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
Anesthesiology
561 CRANBURY RD
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 121 clinicians in this Medicare group
Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 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.

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

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

Nurse Anesthetist, Certified Registered
1 DIAMOND HILL RD FL 3
BERKELEY HEIGHTS, NJ 07922
Anesthesiology
1 DIAMOND HILL RD FL 3
BERKELEY HEIGHTS, NJ 07922

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 Fahmena Islam's NPI number?

The NPI number for Fahmena Islam is 1912527094. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Fahmena Islam located?

Fahmena Islam practices at 1 Diamond Hill Rd Fl 3, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8872.

What is Fahmena Islam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Fahmena Islam enrolled in Medicare?

Yes. Fahmena Islam 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 Fahmena Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fahmena Islam reassigns Medicare benefits to 3 organizations: Summit Medical Group PA (Berkeley Heights, NJ), Bay Anesthesia LLC (East Brunswick, NJ) and New Jersey Healthcare Specialists PC (Hackensack, NJ). 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 Fahmena Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fahmena Islam accept?

Health plans from Oscar Health list Fahmena 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.

Is Fahmena Islam affiliated with any hospitals?

According to CMS data, Fahmena Islam is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Fahmena Islam was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.