Individual provider Active NPI

Jamaal H Shaban, D.O.

  • Surgery Physician
  • Haddon Heights, NJ
National Provider Identifier
1164791927
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB09527900 Issued in NJ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0446483MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615002411 NJ Practitioner - General Surgery 2365686888 Reassigns benefits to 1 organization

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
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

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 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H84267MDMDSurgery Physician
25MB09527900NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Surgery CurrentSince Nov 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2015 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.