Organization Active NPI

Mahmood a.Shamsi,M.D.,P.a.

  • Internal Medicine Physician
  • Middlesex, NJ
National Provider Identifier
1033369137
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA57994 Issued in NJ
Legal business name
MAHMOOD A.SHAMSI,M.D.,P.A.
Doing business as
mahmood a. shamsi,m.d.,p.a.
Practice address
1273 Bound Brook Rd
Suite 10
Middlesex, NJ 08846-1490
Phone
(732) 563-6630
Fax
(732) 563-6733
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Mahmood A. Shamsi, M.D.NPI 1437202561
Title
President
Phone
(732) 563-6630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA57994 NJ Primary

Addresses

Primary practice location

1273 Bound Brook Rd
Suite 10
Middlesex, NJ 08846-1490

Mailing address

1273 Bound Brook Rd
Suite 10
Middlesex, NJ 08846-1490
Phone (732) 563-6630

Other names 1

  • mahmood a. shamsi,m.d.,p.a. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050322000640 NJ Part B Supplier - Clinic/Group Practice 0143275230 Receives reassigned benefits from 1 practitioner
Practice locations: Middlesex, NJ

National Provider Directory

National Provider Directory

Locations

1273 Bound Brook Rd
Ste 10
Middlesex, NJ 08846
Phone (732) 563-6630

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1033369137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 BOUND BROOK RD",
            "address_2": "SUITE 10",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461490",
            "telephone_number": "732-563-6630",
            "fax_number": "732-563-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 BOUND BROOK RD",
            "address_2": "SUITE 10",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461490",
            "telephone_number": "732-563-6630",
            "fax_number": "732-563-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOOD A.SHAMSI,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-563-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA57994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mahmood a. shamsi,m.d.,p.a.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.