Active NPI
Sirajuddin Sheikh, M.D.
- Adult Medicine Physician
- Ewing, NJ
National Provider Identifier
1184831455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 25MA03126100
- Practice address
- 1440 Pennington Rd
Suite 1
Ewing, NJ 08618-2669 - Phone
- (609) 890-1050
- Fax
- (609) 890-0950
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 25MA03126100 | NJ | Primary |
Addresses
Primary practice location
1440 Pennington Rd
Suite 1
Ewing, NJ 08618-2669
Mailing address
30 Pardee PL
Ewing, NJ 08628-2016
Phone (609) 890-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00769698 | Other | NJ | RR MEDICARE |
| 4947606 | Medicaid | NJ |
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
- Internal Medicine
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39 N Clinton Ave
Trenton, NJ 08609-1011
Phone (609) 394-9398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities, Diocese of Trenton | Current | Accepting new patients |
Locations
383 W State St
Trenton, NJ 08618
Phone (609) 278-4933
39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5157
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Trenton, NJ
- NPI 1306888656
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": "1457308800000",
"number": "1184831455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PARDEE PL",
"city": "EWING",
"state": "NJ",
"postal_code": "086282016",
"telephone_number": "609-890-1050",
"fax_number": "609-890-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 PENNINGTON RD",
"address_2": "SUITE 1",
"city": "EWING",
"state": "NJ",
"postal_code": "086182669",
"telephone_number": "609-890-1050",
"fax_number": "609-890-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKH",
"first_name": "SIRAJUDDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NJ",
"license": "25MA03126100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00769698",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4947606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.