Shore Nephrology PA.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SHORE NEPHROLOGY PA.

Practice address

2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102

Phone

(732) 988-8228

Fax

(732) 451-0059

NPI assigned

Aug 30, 2006

Last updated

Apr 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mustak Rahman, CPC CPC-H

Title

Billing Coding Manager

Phone

(732) 455-5398

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Huq ,Cruz and Strauss MD.PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dionisio V Cruz, MD

  • Nephrology Physician
  • Brick, NJ
  • NPI 1609833961
  Medicare reassignment NPD
• Harry James Dounis, DO

  • Nephrology Physician
  • Neptune, NJ
  • NPI 1124286083
  Medicare reassignment NPD
• Ira M Strauss, MD

  • Nephrology Physician
  • Brick, NJ
  • NPI 1225006927
  Medicare reassignment NPD
• Mohammad Umair Zafar, M.D.

  • Nephrology Physician
  • Bloomington, IL
  • NPI 1568749265

  NJ

  Medicare reassignment NPD
• Avais Masud, MD

  • Nephrology Physician
  • Neptune, NJ
  • NPI 1114983541
  Medicare reassignment
• Tania Uwais, PA

  • Medical Physician Assistant
  • Neptune, NJ
  • NPI 1275589814
  Medicare reassignment
• James Steven Brock, MD

  • Surgery Physician
  • Shrewsbury, NJ
  • NPI 1477549954
  NPD (past)
• Rosario Conde, ANP

  • Family Nurse Practitioner
  • Tinton Falls, NJ
  • NPI 1730263427
  NPD (past)
• Nikki Daskalakis, MD

  • Internal Medicine Physician
  • Eatontown, NJ
  • NPI 1376655878
  NPD (past)
• Muhammed S Huq, MD

  • Nephrology Physician
  • Brick, NJ
  • NPI 1295776227
  NPD (past)
• Kevin Lopyan, MD

  • Vascular Surgery Physician
  • Eatontown, NJ
  • NPI 1114086527
  NPD (past)
• Thomas J Tomasco, MD

  • Nephrology Physician
  • Brick, NJ
  • NPI 1982618104
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1003926171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228",
            "fax_number": "732-451-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228",
            "fax_number": "732-451-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE NEPHROLOGY PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MUSTAK",
        "authorized_official_title_or_position": "BILLING CODING MANAGER",
        "authorized_official_telephone_number": "732-455-5398",
        "authorized_official_credential": "CPC CPC-H"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2949806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0115117000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "CF5059",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huq ,Cruz and Strauss MD.PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Seung Hoon Shin, M.D.
• Shore Cardiac Anesthesiology Associates, Inc.
• Shore Health and Rehab Products Inc (Carlton Surgical Supply)
• Shore Heart Group LLC
• Shore Heart Group, PA
• Shore Pharmacy Corp (Shore Phcy and Surgicals)
• Shore Primary Care, P.C.
• Shreyal Shukla, OD
• Zachary John Shuler, MD
• Aleksandr Shumkin, MD

• Nephrology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.