Samar Samir Bursheh, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08952900 Issued in NJ

Practice address

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406-2166

Phone

(609) 350-6780

Fax

(609) 350-6995

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Merit-based Incentive Payment System (MIPS)

Final score

23.05 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

76.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Specialty Medconsultants LLC

  • Nephrology Physician
  • Ventnor City, NJ
  • NPI 1831520931
  Medicare reassignment Care Compare group NPD
• Nutriamed

  • Medical Specialty Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1841128196
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1154573665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "address_2": "STE C",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "609-350-6780",
            "fax_number": "609-350-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "address_2": "STE C",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "609-350-6780",
            "fax_number": "609-350-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSHEH",
        "first_name": "SAMAR",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08952900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Bolger, DMD
• Joshua R Braunstein, D.D.S.
• Kimberly R Brennan, APN
• Patricia Brick, PT
• Patricia Bruder
• Evan Joseph Buzgo, PHARMD
• Colleen Callahan, M.S. CCC-SLP
• Susan M Cohen, PT
• Community Dental of Ventnor, P.C.
• Amber Rose Coppola, D.C.

• Specialist in Ventnor City, NJ
• Providers in Ventnor City, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.

Verify at the official NPI Registry.