NPIMap

Individual provider Active NPI

Shiraz Cede Yussaf, M.D

  • Family Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1134448251
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09293200 Issued in NJ
Practice address
122 Clinton St
Hoboken, NJ 07030-2502
Phone
(201) 418-3109
Fax
(201) 418-3147
NPI assigned
May 28, 2010
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09293200 NJ Primary

Addresses

Primary practice location

122 Clinton St
Hoboken, NJ 07030-2502

Mailing address

1225 McBride Ave
Suite 200
Woodland Park, NJ 07424-3813
Phone (973) 256-5557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000527 NJ Practitioner - Family Practice 1254573454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1225 McBride Ave
Woodland Park, NJ 07424-3813

151 Graham Ave
North Haledon, NJ 07508-2961
Phone (973) 427-4087

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09293200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC Current Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

122 Clinton St
Hoboken, NJ 07030
Phone (201) 418-1415

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

637 State Rt 23
Pompton Plains, NJ 07444
Phone (201) 773-8485

1225 McBride Ave
Ste 200
Woodland Park, NJ 07424
Phone (973) 256-5557

Interoperability endpoints

  • Direct secure messaging: shiraz.yussaf@direct.carepointhealth.org

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.

Hospital & facility affiliations 11

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1134448251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243813",
            "telephone_number": "973-256-5557",
            "fax_number": "973-256-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CLINTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302502",
            "telephone_number": "201-418-3109",
            "fax_number": "201-418-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSSAF",
        "first_name": "SHIRAZ",
        "middle_name": "CEDE",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09293200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.