Individual provider Active NPI

Abbas A. Shehadeh, MD

  • Cardiovascular Disease Physician
  • West Orange, NJ
National Provider Identifier
1215900774
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06090700 Issued in NJ
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

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7059507MedicaidNJ

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
I20080827000037 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981779964 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians
St Michaels Cardiology AssociatesGroup PAC ID 9830224153, 8 clinicians
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting39
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06090700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
St Michaels Cardiology Associates Cardiovascular Disease CurrentSince Dec 16, 2009 Accepting new patients
Abbas a. Shehadeh MD, PA Cardiovascular Disease CurrentSince Dec 8, 2000 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.