Individual provider Active NPI

Ashraf Shaker, MD

  • Internal Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1235159658
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA0617190 Issued in NJ
Practice address
7600 River Road
North Bergen, NJ 07047
Phone
(201) 920-6222
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA0617190 NJ Primary
Emergency Medicine Physician 207P00000X 25MA06171900 NJ

Addresses

Primary practice location

7600 River Road
North Bergen, NJ 07047

Mailing address

147 Cedar LN
Teaneck, NJ 07666-4407
Phone (201) 920-6222

Other identifiers 1

IdentifierTypeStateIssuer
7494807MedicaidNJ

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
I20040526000333 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 0547241507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Care of Hudson County LLCGroup PAC ID 3072616085, 3 clinicians

Practice addresses (Care Compare)

142 Palisade Ave
Suite 218
Jersey City, NJ 07306-1108
Phone (201) 863-5696

1610 Summit Ave
Union City, NJ 07087-1924
Phone (201) 863-5696

3 Rubino Rd
West Caldwell, NJ 07006-8033
Phone (862) 223-9231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0617190NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Medical Care Internal Medicine CurrentSince Mar 4, 2022 Accepting new patients
Advanced Medical Care of Hudson County LLC Internal Medicine CurrentSince Mar 15, 2023 Accepting new patients
Jema Physicians' Services, L.L.C. Emergency Medicine Past Accepting new patients

Locations

142 Palisade Ave
Ste 212
Jersey City, NJ 07306
Phone (201) 792-1555

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1610 Summit Ave
Union City, NJ 07087
Phone (201) 863-5696

Organizations & group practices 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1235159658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664407",
            "telephone_number": "201-920-6222",
            "fax_number": "201-768-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER ROAD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-920-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "ASHRAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA0617190",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06171900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7494807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.