Individual provider Active NPI

Mohammad Naveed Shaikh, MD, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Piscataway, NJ
National Provider Identifier
1174860381
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2423 Issued in NJ
Practice address
1306 Mindy LN
Piscataway, NJ 08854-5984
Phone
(718) 261-1420
Fax
(201) 862-9136
NPI assigned
Jan 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2423 NJ Primary

Addresses

Primary practice location

1306 Mindy LN
Piscataway, NJ 08854-5984

Mailing address

1306 Mindy LN
Piscataway, NJ 08854-5984
Phone (718) 261-1420

Other identifiers 2

IdentifierTypeStateIssuer
2423OtherAMERICAN BOARD OF EEG AND EPT TECHNOLOGISTS REGISTRATION
0-450-064-1OtherEDUCATIONAL COMMISSION FOR FOREIGHN MEDICAL GRADUATES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1174860381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MINDY LN",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545984",
            "telephone_number": "718-261-1420",
            "fax_number": "201-862-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MINDY LN",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545984",
            "telephone_number": "718-261-1420",
            "fax_number": "201-862-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "MOHAMMAD",
        "middle_name": "NAVEED",
        "name_prefix": "Dr.",
        "credential": "MD, CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NJ",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF EEG AND EPT TECHNOLOGISTS REGISTRATION",
            "identifier": "2423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL COMMISSION FOR FOREIGHN MEDICAL GRADUATES",
            "identifier": "0-450-064-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.