Saint Barbara Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA61123 Issued in NJ

Legal business name

SAINT BARBARA MEDICAL LLC

Doing business as

Saint Barbara Medical LLC

Practice address

1820 State Route 33 Ste 4-a
Neptune, NJ 07753-4860

Phone

(732) 775-4138

Fax

(732) 775-4158

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By 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

Dr. Magdy L Shenouda, M.D.NPI 1982684767

Title

M.D.

Phone

(732) 775-4138

Specialties & licenses 1

Addresses

Other names 1

• Saint Barbara Medical LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Magdy L Shenouda, M.D.

  • Internal Medicine Physician
  • Wall, NJ
  • NPI 1982684767
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093916843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33 STE 4-A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-775-4138",
            "fax_number": "732-775-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 STATE ROUTE 33 STE 4-A",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534860",
            "telephone_number": "732-775-4138",
            "fax_number": "732-775-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BARBARA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "732-775-4138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA61123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Barbara Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaber Safawi, MD
• Mohammad Imran Safdar, M.D.
• Adam Sagot, D.O.
• Manjinder Sahi, NP
• Shazia Saif, MD
• Sarah Saintil
• Saker Shoprite's Inc
• Yaser Samer Salah, MD
• SM Arif Bin Saleh
• Laura Elizabeth Salerno, R.N.

• Internal Medicine Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.