Jessica Elizabeth Shabo, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25MA08646100 Issued in NJ

Practice address

183 South Orange Ave
BHSB E-1447 Psychiatry Department
Newark, NJ 07101-1709

Phone

(973) 972-4678

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Psychiatry

Education

Rutgers New Jersey Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Care Florida LLCGroup PAC ID 0941608731, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Psychiatric Care Florida, LLC

  • Psychiatry Physician
  • Boynton Beach, FL
  • NPI 1346910973
  Medicare reassignment Care Compare group NPD
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266
  Medicare reassignment NPD

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1275869612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SOUTH ORANGE AVE",
            "address_2": "BHSB E-1447 PSYCHIATRY DEPARTMENT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011709",
            "telephone_number": "973-972-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 SOUTH ORANGE AVE",
            "address_2": "BHSB E-1447 PSYCHIATRY DEPARTMENT",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011709",
            "telephone_number": "973-972-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABO",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08646100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Severance, MD
• Chintel Sewell, RBT
• Jacquelyn Bliss Katchuk Sexton, NP
• Hamid Salim Shaaban, M.D
• Maria Shabih
• Mabad Shacker
• Kyyania Shaddad, CERTIFIED DOULA
• Jasmine Shafei, MD
• Ami Shah, PHARMD.
• Amol R Shah, MD

• Child & Adolescent Psychiatry Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.