Healthcare Provider Details

I. General information

NPI: 1184002248
Provider Name (Legal Business Name): ADAM AMMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MADISON AVE FL 3
MORRISTOWN NJ
07960-7360
US

IV. Provider business mailing address

131 MADISON AVE FL 3
MORRISTOWN NJ
07960-7360
US

V. Phone/Fax

Practice location:
  • Phone: 973-326-9000
  • Fax:
Mailing address:
  • Phone: 973-326-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MA11887200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number79314
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: