Johanna K Shaheed

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00651600 Issued in NJ

Practice address

61 Hobson St
Newark, NJ 07112-1308

Phone

(862) 596-8255

NPI assigned

Feb 17, 2017

Sex

Female

Sole proprietor

Yes

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, NY, CT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  CT, NJ, NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1174062558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HOBSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121308",
            "telephone_number": "862-596-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HOBSON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121308",
            "telephone_number": "862-596-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEED",
        "first_name": "JOHANNA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00651600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veevek Mukesh Shah, MD
• Vivek Shah, PHARMD
• Vraj P Shah, MD
• Yash Shah, MD
• Jai Ganesh Shahani, MD
• Nazia Shaheed
• Hosseinali Shahidi, M.D.
• Siraj Zakir Shaikh, MD
• Markim Shakur-Purvis
• Shalom Pharmacy Inc

• Family Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.