Individual provider Active NPI

Shaimaa Mahmoud Shwket, OD

  • Optometrist
  • Fords, NJ
National Provider Identifier
1316545718
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00701000 Issued in NJ
Practice address
565 New Brunswick Ave Ste 201
Fords, NJ 08863-2162
Phone
(732) 738-9223
NPI assigned
Oct 16, 2020
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00701000 NJ Primary

Addresses

Primary practice location

565 New Brunswick Ave Ste 201
Fords, NJ 08863-2162

Mailing address

12 San Francisco Dr
Old Bridge, NJ 08857-4109
Phone (908) 202-0307

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119002937 NJ Practitioner - Optometry 0143633818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sushma Patel OD LLCGroup PAC ID 0042565608, 2 clinicians

Practice addresses (Care Compare)

2516 Hwy 35
Suite 104
Manasquan, NJ 08736-1927
Phone (732) 223-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00701000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sushma Patel OD, LLC Optometrist CurrentSince Jan 2, 2024 Accepting new patients

Locations

2516 Highway 35
Ste 104
Manasquan, NJ 08736
Phone (732) 223-8000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1316545718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SAN FRANCISCO DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574109",
            "telephone_number": "908-202-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 NEW BRUNSWICK AVE STE 201",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088632162",
            "telephone_number": "732-738-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWKET",
        "first_name": "SHAIMAA",
        "middle_name": "MAHMOUD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00701000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fords, NJ

Sources for this page

Verify at the official NPI Registry.