Individual provider Active NPI

Shahid Mahmood, M.D.

  • Specialist
  • Cranford, NJ
National Provider Identifier
1154340842
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05915400 Issued in NJ
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100070OtherNJAMERIGROUP #
7803401MedicaidNJ
2747293000OtherNJAMERIHEALTH #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050802000010 NJ Practitioner - Pathology 9537197413 Reassigns benefits to 1 organization
I20191101000039 NY Practitioner - Pathology 9537197413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

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 100Reported as group
Quality
58.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05915400NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC Specialist CurrentSince Nov 29, 2024 Accepting new patients
Emes Professional Associates, Inc. CurrentSince Jan 2, 2010 Accepting new patients
Urology Dynamic, PC CurrentSince Sep 1, 2019 Accepting new patients
Rejuvenation Center for Mind and Body PastSince Apr 1, 2019 Accepting new patients
Consultants in Urology, PA Specialist Past Accepting new patients
Ac Rao PC PastSince Feb 23, 2021 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.

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

Verify at the official NPI Registry.