Shereen Dahab, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB11093400 Issued in NJ

Practice address

123 Highland Ave Ste 201
Glen Ridge, NJ 07028-1522

Phone

(862) 333-4700

NPI assigned

Apr 16, 2018

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

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montclair Hospital LLCGroup PAC ID 7810092814, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdahab1330338@ahs.direct-ci.com

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.

• Montclair Hospital LLC

  • Primary Care Clinic/Center
  • Montclair, NJ
  • NPI 1487802930

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Family First Primary Physicians II LLC

  • Internal Medicine Physician
  • Oakhurst, NJ
  • NPI 1710665393

  Internal Medicine, NJ

  Medicare reassignment NPD
• MVP Medical Associates II LLC

  • Urgent Care Clinic/Center
  • Oakhurst, NJ
  • NPI 1750164653

  NJ

  Medicare reassignment NPD
• MVP Medical Associates, PA

  • Urgent Care Clinic/Center
  • Oakhurst, NJ
  • NPI 1235339847

  Internal Medicine, NJ

  Medicare reassignment NPD
• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare group NPD
• Montclair Hospital LLC

  • Specialist
  • Montclair, NJ
  • NPI 1093095184
  Care Compare group
• Montclair Hospital LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montclair, NJ
  • NPI 1265686182
  Care Compare group
• Montclair Hospital LLC

  • Primary Care Clinic/Center
  • Verona, NJ
  • NPI 1295983484
  Care Compare group
• Montclair Hospital LLC

  • Adult Mental Health Clinic/Center
  • Montclair, NJ
  • NPI 1386893659
  Care Compare group
• Montclair Hospital LLC

  • Psychiatric Hospital Unit
  • Montclair, NJ
  • NPI 1841444718
  Care Compare group
• MVP Medical Associates, PA

  • Urgent Care Clinic/Center
  • Eatontown, NJ
  • NPI 1992463384
  NPD

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

• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1154818052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE 201",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281522",
            "telephone_number": "862-333-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE 201",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281522",
            "telephone_number": "862-333-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHAB",
        "first_name": "SHEREEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB11093400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Coons, MD
• Cornel Mircea MD PA
• Lavinia May Couture, PA
• Megan Diane Crowley, PA-C
• Nitika Dabas, MD, MPH
• Efthymios I Daniskas, M.D.
• Juhayna Kassem Davis, MD
• Maris R Davis, M.D.
• Bart Degregorio, MD
• Joseph Degregorio, MD

• All providers in Glen Ridge, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.