Individual provider Active NPI

Shomaf Nakhjo, DO

  • Surgery Physician
  • Newton, NJ
National Provider Identifier
1184831406
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB08739300 Issued in NJ
Practice address
183 High St Ste 1100
Newton, NJ 07860-9602
Phone
(973) 383-2222
Fax
(973) 383-3344
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 60-243324 NY
Surgery Physician 208600000X 25MB08739300 NJ Primary

Addresses

Primary practice location

183 High St Ste 1100
Newton, NJ 07860-9602

Mailing address

183 High St Ste 1100
Newton, NJ 07860-9602
Phone (973) 383-2222

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
I20100713000326 NJ Practitioner - General Surgery 0941332886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)47
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08739300NJMDSurgery Physician
60-243324NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shomaf Nakhjo, D.O. LLC Surgery CurrentSince Aug 1, 2016 Accepting new patients
Juan a Gonzalez MD PA Surgery Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

183 High St
Ste 1100
Newton, NJ 07860
Phone (973) 383-2220

175 High St
Newton, NJ 07860
Phone (973) 383-2121

Organizations & group practices 2

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 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1184831406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HIGH ST STE 1100",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609602",
            "telephone_number": "973-383-2222",
            "fax_number": "973-383-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HIGH ST STE 1100",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609602",
            "telephone_number": "973-383-2222",
            "fax_number": "973-383-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHJO",
        "first_name": "SHOMAF",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "60-243324",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB08739300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.