NPIMap

Individual provider Active NPI

Mubashir Shabil Billah, M.D.

  • Urology Physician
  • Millburn, NJ
National Provider Identifier
1235587478
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA11069300 Issued in NJ
Practice address
225 Millburn Ave
Millburn, NJ 07041-1737
Phone
(973) 218-9400
Fax
(973) 218-9420
NPI assigned
May 27, 2016
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA11069300 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

225 Millburn Ave
Millburn, NJ 07041-1737

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbillah21527@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524001684 NJ Practitioner - Urology 1557760519 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection15
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
St Josephs Medical Group PC CurrentSince Mar 1, 2022 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Mar 1, 2022 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Jul 1, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1255 Broad St
Clifton, NJ 07013
Phone (973) 685-5755

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

255 W Spring Valley Ave
Ste 101
Maywood, NJ 07607
Phone (201) 487-8866

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

222 Cedar Ln
Ste 202
Teaneck, NJ 07666
Phone (201) 836-6060

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Interoperability endpoints

  • Direct secure messaging: mbillah21527@njurology.direct-ci.com
  • Direct secure messaging: mbillah559003@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1235587478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9400",
            "fax_number": "973-218-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLAH",
        "first_name": "MUBASHIR",
        "middle_name": "SHABIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA11069300",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbillah21527@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "150 Bergen St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071032496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.