Individual provider Active NPI

Ednan Sheikh, MD

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
National Provider Identifier
1013128016
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08796800 Issued in NJ
Practice address
1037 US Highway 46 Ste 103a
Clifton, NJ 07013-2461
Phone
(888) 233-3415
Fax
(888) 250-6364
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08796800 NJ Primary

Addresses

Primary practice location

1037 US Highway 46 Ste 103a
Clifton, NJ 07013-2461

Mailing address

1037 US Highway 46 Ste 103a
Clifton, NJ 07013-2461
Phone (888) 233-3415

Other practice location 1

1040 Main St
3rd Fl
Paterson, NJ 07503-2212
Phone (888) 233-3415

Other identifiers 2

IdentifierTypeStateIssuer
0250848MedicaidNJ
193284YGN9OtherNJMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101215001010 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3274721378 Reassigns benefits to 3 organizations
I20140603001240 NY Practitioner - AnesthesiologyPractitioner - Pain Management 3274721378 Reassigns benefits to 1 organization
I20221114001337 TX Practitioner - Anesthesiology 3274721378

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1037 US Hwy 46
Suite 103a
Clifton, NJ 07013-2461
Phone (888) 233-3415

275 N Middletown Rd
Suite 1F
Pearl River, NY 10965-1189
Phone (202) 985-2191

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Surgical Center LLC Current Accepting new patients
Specialty Surgical Center, LLC CurrentSince Dec 20, 2010 Accepting new patients
Active Medical Care PC CurrentSince Jun 10, 2018 Accepting new patients
Monarch Medical Group LLC CurrentSince Jan 5, 2025 Accepting new patients
NJ Pain & Spine PC Pain Medicine CurrentSince Oct 12, 2011 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Pinnacle Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

1 Centurian Dr
Ste 103
Newark, DE 19713
Phone (302) 407-5903

148 State St
Fl 10
Boston, MA 02109
Phone (617) 426-2026

1037 US Highway 46
Ste 103B
Clifton, NJ 07013
Phone (202) 985-2191

1037 US Highway 46
Ste 103
Clifton, NJ 07013
Phone (973) 471-8852

1037 US Highway 46
Ste 103A
Clifton, NJ 07013
Phone (202) 985-2191

1360 Clifton Ave
Clifton, NJ 07012
Phone (973) 253-7737

377 Jersey Ave
Ste 250
Jersey City, NJ 07302
Phone (201) 763-6763

1040 Main St
Fl 3
Paterson, NJ 07503
Phone (888) 233-3415

380 Lafayette Rd
Ste 110
Sparta, NJ 07871
Phone (973) 940-3166

275 N Middletown Rd
Ste 1F
Pearl River, NY 10965
Phone (845) 735-6699

Interoperability endpoints

  • Direct secure messaging: ednan.sheikh@direct.bayonnemedicalcenter.md

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1013128016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 US HIGHWAY 46 STE 103A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132461",
            "telephone_number": "888-233-3415",
            "fax_number": "888-250-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 US HIGHWAY 46 STE 103A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132461",
            "telephone_number": "888-233-3415",
            "fax_number": "888-250-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Main St",
            "address_2": "3rd Fl",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032212",
            "country_code": "US",
            "telephone_number": "888-233-3415",
            "fax_number": "201-215-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "EDNAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08796800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250848",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "193284YGN9",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.