Healthcare Provider Details

I. General information

NPI: 1548364896
Provider Name (Legal Business Name): QAISAR HASAN USMANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 WHITEHORSE MERCERVILLE RD STE J
HAMILTON NJ
08619-1946
US

IV. Provider business mailing address

2333 WHITEHRSE MERC RD STE J
HAMILTON NJ
08619-1946
US

V. Phone/Fax

Practice location:
  • Phone: 609-203-2041
  • Fax: 609-689-0567
Mailing address:
  • Phone: 609-689-1229
  • Fax: 609-689-0567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMA06675500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: