Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fahim Imtiaz, MBBS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174084933

Fahim Imtiaz, MBBS is an Internal Medicine in Brick, New Jersey. Qualified in 2014, 12 years ago. Practices with Plover Inpatient Services LLC, a 153-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone: (732) 840-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8900 Van Wyck Expy, Jamaica, NY 11418-2897 — (718) 206-6768
  • 8900 Van Wyck Expy, Jamaica, NY 11418-2897 — (718) 206-6768

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA11554500 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174084933
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Plover Inpatient Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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