Active NPI
Jamaal H Shaban, D.O.
- Surgery Physician
- Haddon Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MB09527900
- Practice address
- 120 White Horse Pike Ste 103B
Haddon Heights, NJ 08035-1938 - Phone
- (856) 546-3900
- NPI assigned
- Dec 23, 2011
- Last updated
- Jun 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MB09527900 | NJ | Primary |
| Surgery Physician | 208600000X | H84267 | MD |
Addresses
Primary practice location
120 White Horse Pike Ste 103B
Haddon Heights, NJ 08035-1938
Mailing address
3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500
Other practice location 1
3407 Wilkens Ave Ste 410
Baltimore, MD 21229
Phone (443) 574-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446483 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jshaban12711@directvirtua.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 White Horse Pike
Haddon Heights, NJ 08035-1938
1600 Haddon Ave
Camden, NJ 08103-3101
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H84267 | MD | MD | Surgery Physician |
| 25MB09527900 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Surgery | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920
120 White Horse Pike
Ste 103B
Haddon Heights, NJ 08035
Phone (856) 546-3900
217 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-5550
542 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-3393
401 Young Ave
Ste 275B
Moorestown, NJ 08057
Phone (856) 291-8670
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1164791927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 WILKENS AVE STE 410",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295074",
"telephone_number": "443-574-8500",
"fax_number": "410-719-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WHITE HORSE PIKE STE 103B",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351938",
"telephone_number": "856-546-3900"
}
],
"practiceLocations": [
{
"address_1": "3407 Wilkens Ave Ste 410",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21229",
"country_code": "US",
"telephone_number": "443-574-8500",
"fax_number": "410-719-0094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHABAN",
"first_name": "JAMAAL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MB09527900",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "H84267",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446483",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jshaban12711@directvirtua.org",
"affiliation": "N",
"address_1": "120 White Horse Pike Ste 103B",
"city": "Haddon Heights",
"state": "NJ",
"country_code": "US",
"postal_code": "080351938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Haddon Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.