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

Iqtidar Mansoor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144961756

Iqtidar Mansoor is a Family Practice in Brick, New Jersey. Qualified in 2022, 4 years ago. Practices with Rwjbh Emergency Medicine Associates, LLC, a 807-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Specialties on file
2
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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.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA12548800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144961756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rwjbh Emergency Medicine Associates, Llc — 807 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brick