Individual provider Active NPI

Sirajuddin Sheikh, M.D.

  • Adult Medicine Physician
  • Ewing, NJ
National Provider Identifier
1184831455
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
25MA03126100 Issued in NJ
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

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00769698OtherNJRR MEDICARE
4947606MedicaidNJ

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
I20091022000318 NJ Practitioner - Internal Medicine 1153468277 Reassigns benefits to 1 organization

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
Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

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

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Trenton CurrentSince Aug 19, 2019 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.

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

Verify at the official NPI Registry.