Sham Rustom Bajina, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA02829400 Issued in NJ

Practice address

765 Route 70 East
CFG Health Systems LLC BLDG a Suite 101
Marlton, NJ 08053

Phone

(856) 983-3900

Fax

(856) 810-0169

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1033309562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W RED BANK AVENUE",
            "address_2": "APT K16",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080964940",
            "telephone_number": "856-848-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 70 EAST",
            "address_2": "CFG HEALTH SYSTEMS LLC BLDG A SUITE 101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-3900",
            "fax_number": "856-810-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJINA",
        "first_name": "SHAM",
        "middle_name": "RUSTOM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02829400",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD034586L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4586000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noor Mehak Badechha, MA
• Laura Baden
• Monica Badillo, MD
• Manar Bahaadeen, RPH
• Cynthia Marlo Baird, M.D., M.P.H.
• Donald John Baker, MD
• Mona Lisa Baker
• Robert Baker, LCSW
• Lauren Nicole Bakshi, MSN, APRN, FNP-BC
• Frederick L Ballet, MD

• Family Medicine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.