Active NPI
Abbas A. Shehadeh, MD
- Cardiovascular Disease Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA06090700
- Practice address
- 443 Northfield Avenue
Suite 301
West Orange, NJ 07052 - Phone
- (973) 731-0203
- Fax
- (973) 731-0017
- NPI assigned
- Feb 7, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA06090700 | NJ | Primary |
Addresses
Primary practice location
443 Northfield Avenue
Suite 301
West Orange, NJ 07052
Mailing address
PO Box 679
Short Hills, NJ 07078-0679
Phone (973) 731-0203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7059507 | 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011
268 Dr M L King Jr Blvd
Newark, NJ 07102-2011
Phone (973) 678-5700
443 Northfield Ave
Suite 301
West Orange, NJ 07052-3022
Phone (973) 731-0203
60 Vose Ave
South Orange, NJ 07079-2026
Phone (973) 763-5200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 39 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06090700 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson MD Group | Cardiovascular Disease | Current | Accepting new patients |
| St Michaels Cardiology Associates | Cardiovascular Disease | Current | Accepting new patients |
| Abbas a. Shehadeh MD, PA | Cardiovascular Disease | Current | Accepting new patients |
| David W. Lee MD PA | Past | Accepting new patients | |
| Lina Shihabuddin MD LLC | Past | Accepting new patients |
Locations
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
306 Dr Martin Luther King Jr Blvd
#B4
Newark, NJ 07102
268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700
784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999
111 Northfield Ave
Ste 304
West Orange, NJ 07052
Phone (973) 731-0203
443 Northfield Ave
Ste 301
West Orange, NJ 07052
Phone (908) 315-5602
623 Eagle Rock Ave
Ste 1
West Orange, NJ 07052
Phone (347) 450-5320
Organizations & group practices 6
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.
-
- Interventional Cardiology Physician
- West Orange, NJ
- NPI 1366550782
Cardiovascular Disease
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Newark, NJ
- NPI 1457481954
-
- Cardiovascular Disease Physician
- East Orange, NJ
- NPI 1477532588
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
-
- Geriatric Psychiatry Physician
- Newark, NJ
- NPI 1538264890
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1215900774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 679",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070780679",
"telephone_number": "973-731-0203",
"fax_number": "973-731-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 NORTHFIELD AVENUE",
"address_2": "SUITE 301",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "07052",
"telephone_number": "973-731-0203",
"fax_number": "973-731-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHADEH",
"first_name": "ABBAS",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA06090700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7059507",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.