Javad Shirvanian, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

29 E 29TH St
Bayonne, NJ 07002-4654

Phone

(201) 858-6594

Fax

(201) 716-3951

NPI assigned

Oct 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Central Maine Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1689653487
  NPD (past)
• Central Maine Medical Center

  dba CMMC Pharmacy

  • Community/Retail Pharmacy
  • Lewiston, ME
  • NPI 1861433765
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1255095683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-795-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-6594",
            "fax_number": "201-716-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 High St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407649",
            "country_code": "US",
            "telephone_number": "207-795-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRVANIAN",
        "first_name": "JAVAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS",
            "identifier": "P112353",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Bilal Sheikh, PHARMD
• Ashraf Shenouda
• Magdolin Mishel Samy Saad Shenouda, PT, DPT, PH.D.
• Sara Shi, DO
• Eunjung Shim, DMD, MDS
• Shop Fusion, Inc
• David Shor, LCSW
• Mohammed Abdul Aleem Siddiqui
• Amonious Sidrak
• Danuta Silber, MD PHD

• Student in an Organized Health Care Education/Training Program in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.