Provider Demographics
NPI:1386774628
Name:M H AL - ASHA MD PA
Entity type:Organization
Organization Name:M H AL - ASHA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:AL-ASHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-449-2212
Mailing Address - Street 1:1930 STATE ROUTE 35
Mailing Address - Street 2:SUITE 1 ALLAIRE PLAZA
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3538
Mailing Address - Country:US
Mailing Address - Phone:732-449-2212
Mailing Address - Fax:732-974-9888
Practice Address - Street 1:1930 STATE ROUTE 35
Practice Address - Street 2:SUITE 1 ALLAIRE PLAZA
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3538
Practice Address - Country:US
Practice Address - Phone:732-449-2212
Practice Address - Fax:732-974-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02970800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023361OtherGHI
NJ4121738OtherCIGNA
NJ1059441OtherHORIZO MERCY
NJ381899OtherFOCUS
NJ0074446000OtherAMERIHEALTH
NJ0074446001OtherAMERIHEALTH SPECALTY
NJ0K08156OtherHEALTHNET
NJ251124OtherUNITED HEALTHCARE
NJ3017303Medicaid
NJ35083OtherEMPIRE
NJP1495397OtherOXFORD
NJ4112035OtherAETNA US HEALTHCARE
NJ=========OtherHORIZON BCBS
NJ381899OtherFOCUS