Individual provider Active NPI

Moustafa Shafey, MD

  • Psychiatry Physician
  • Freehold, NJ
National Provider Identifier
1164574463
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA05741600 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(732) 431-2000
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA05741600 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

PO Box 1247
Toms River, NJ 08754-1247
Phone (732) 349-3838

Other identifiers 2

IdentifierTypeStateIssuer
P00083722OtherNJRRM
5184304MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110211000506 NJ Practitioner - Psychiatry 0446430177 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Freehold Psychiatric AssociatesGroup PAC ID 6406037324, 6 clinicians

Practice addresses (Care Compare)

1 Applewood Dr
Freehold, NJ 07728-3985
Phone (732) 431-2000

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freehold Psychiatric Associates Psychiatry CurrentSince Aug 18, 1992 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients
Shafey Psychiatric Services Psychiatry PastSince Dec 1, 2001 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 103
Freehold, NJ 07728
Phone (732) 252-6688

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 851-4700

901 W Main St
Ste 367
Freehold, NJ 07728
Phone (732) 637-6356

Interoperability endpoints

  • Direct secure messaging: mshafey425652@direct.ahsys.org

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1164574463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541247",
            "telephone_number": "732-349-3838",
            "fax_number": "732-349-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFEY",
        "first_name": "MOUSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05741600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "P00083722",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5184304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.