Healthcare Provider Details

I. General information

NPI: 1134517121
Provider Name (Legal Business Name): MOHAMAD SALIM ANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 BORDENTOWN AVE STE 10
PARLIN NJ
08859-1851
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 732-727-0400
  • Fax: 732-727-1391
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA09378200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: