Individual provider Active NPI

Shams Elbedeiwy

  • Clinical Social Worker
  • Lyndhurst, NJ
National Provider Identifier
1083498778
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06589100 Issued in NJ
Practice address
1301 Wall St W Apt 5212
Lyndhurst, NJ 07071-3540
Phone
(201) 421-9522
NPI assigned
Aug 23, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06589100 NJ Primary
Clinical Social Worker 1041C0700X CW027973 PA

Addresses

Primary practice location

1301 Wall St W Apt 5212
Lyndhurst, NJ 07071-3540

Mailing address

434 Terhune Ave
Paramus, NJ 07652-5746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410000500 NJ Practitioner - Clinical Social Worker 7012492580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 Wall St W
Apt 5212
Lyndhurst, NJ 07071-3515

434 Terhune Ave
Paramus, NJ 07652-5746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06589100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Bay Wellness, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

1387 Chews Landing Rd
Laurel Springs, NJ 08021
Phone (855) 760-2933

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1083498778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 TERHUNE AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WALL ST W APT 5212",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713540",
            "telephone_number": "201-421-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBEDEIWY",
        "first_name": "SHAMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06589100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.