Organization Active NPI

N.D. Shariati M.D. PC

  • Infectious Disease Physician
  • Bedminster, NJ
National Provider Identifier
1245590512
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
N.D. SHARIATI M.D. PC
Practice address
2345 Lamington Rd Ste 103
Bedminster, NJ 07921-2612
Phone
(908) 234-2295
Fax
(908) 234-0579
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. Nasseredin Shariati, M.D.NPI 1861486623
Title
Owner/Officer
Phone
(908) 234-2295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2345 Lamington Rd Ste 103
Bedminster, NJ 07921-2612

Mailing address

2345 Lamington Rd Ste 103
Bedminster, NJ 07921-2612
Phone (908) 234-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000113 NJ Part B Supplier - Clinic/Group Practice 7012170020 Receives reassigned benefits from 1 practitioner
Practice locations: Bedminster, NJ

National Provider Directory

National Provider Directory

Locations

2345 Lamington Rd
Ste 103
Bedminster, NJ 07921
Phone (201) 766-6351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1245590512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD STE 103",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-234-2295",
            "fax_number": "908-234-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD STE 103",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-234-2295",
            "fax_number": "908-234-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.D. SHARIATI M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SHARIATI",
        "authorized_official_first_name": "NASSEREDIN",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "908-234-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.