Elhamy Ibrahim Shaker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA055823 Issued in NJ

Practice address

147 Cedar LN
Teaneck, NJ 07666-4407

Phone

(201) 287-1010

Fax

(201) 287-9049

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: elhamy.shaker.1@24719.direct.athenahealth.com

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285665695",
    "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": "201-287-1010",
            "fax_number": "201-287-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664407",
            "telephone_number": "201-287-1010",
            "fax_number": "201-287-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "ELHAMY",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA055823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Shah
• Shamik Kalpesh Shah, MD
• Sheelpa Shah, DMD
• Syed Muhammad Adnan Shah
• Nasar M Shahid, M.D
• Shalva ABA Services
• Rehan Syed Shamim, MD
• Divya Shanbhogue, M D, MPH
• Leslie Shanken, PH.D.
• Desarta Shaqiri, PHARMD,RPH

• Internal Medicine Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.