Active NPI
Shahid Mahmood, M.D.
- Specialist
- Cranford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA05915400
- Practice address
- 46 Jackson Dr
Cranford, NJ 07016-3504 - Phone
- (908) 272-0699
- Fax
- (908) 272-1478
- NPI assigned
- Jul 19, 2006
- Last updated
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA05915400 | NJ | Primary |
Addresses
Primary practice location
46 Jackson Dr
Cranford, NJ 07016-3504
Mailing address
11 Ellington PL
Englewood Cliffs, NJ 07632-2014
Phone (201) 951-7233
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100070 | Other | NJ | AMERIGROUP # |
| 7803401 | Medicaid | NJ | |
| 2747293000 | Other | NJ | AMERIHEALTH # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.08 of 100
- Quality
- 58.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05915400 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Specialist | Current | Accepting new patients |
| Emes Professional Associates, Inc. | Current | Accepting new patients | |
| Urology Dynamic, PC | Current | Accepting new patients | |
| Rejuvenation Center for Mind and Body | Past | Accepting new patients | |
| Consultants in Urology, PA | Specialist | Past | Accepting new patients |
| Ac Rao PC | Past | Accepting new patients | |
| Urologic Health Center of NJ PC | Past | Accepting new patients | |
| New Jersey Urology LLC | Past | Accepting new patients | |
| Hamilton Gastroenterology Group, P.C. | Specialist | Past | Accepting new patients |
| Urologic Health Center of N.J. P.C. | Past | Accepting new patients |
Locations
46 Jackson Dr
Cranford, NJ 07016
Phone (866) 909-7284
300 Columbus Cir
Ste A
Edison, NJ 08837
Phone (866) 909-7284
7603 113th St
Forest Hills, NY 11375
Phone (718) 268-1100
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
130 E 18th St
New York, NY 10003
Phone (212) 420-1566
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 10
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.
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- NPI 1558492314
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- NPI 1275506248
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- NPI 1619924990
-
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- NPI 1588822423
-
- Addiction Medicine (Internal Medicine) Physician
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- NPI 1013475953
-
- Urology Physician
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- NPI 1659418408
-
- Non-Pharmacy Dispensing Site
- Toms River, NJ
- NPI 1518898774
-
- Surgery Physician
- Brooklyn, NY
- NPI 1306999792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1154340842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ELLINGTON PL",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322014",
"telephone_number": "201-951-7233",
"fax_number": "201-816-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 JACKSON DR",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070163504",
"telephone_number": "908-272-0699",
"fax_number": "908-272-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "SHAHID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA05915400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP #",
"identifier": "100070",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7803401",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH #",
"identifier": "2747293000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.