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

Muhammad Ibtisam Durrani

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912384405

Muhammad Ibtisam Durrani is an Emergency Medicine in Vineland, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2014, 12 years ago. Practices with South Jersey Health System Emergency Physician Services P A, a 30-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone: (856) 641-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB10350400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912384405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESDecember 6, 2019
Mailing address1505 W Sherman Ave, Vineland, NJ 08360-7059

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2014 (12 years in practice)
Group practice South Jersey Health System Emergency Physician Services P A — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vineland