Individual provider Active NPI

Syed Shahab Kazmi, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1326494485
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10694500 Issued in NJ
Practice address
355 Bard Ave Dept of Medicine Villa Building
1St Floor
Staten Island, NY 10310-1664
Phone
(718) 818-2419
NPI assigned
May 9, 2016
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 300693 NY
Hospitalist Physician 208M00000X 300693 NY
Internal Medicine Physician 207R00000X 25MA10694500 NJ Primary

Addresses

Primary practice location

355 Bard Ave Dept of Medicine Villa Building
1St Floor
Staten Island, NY 10310-1664

Mailing address

100 Witmer Rd Ste 220
Horsham, PA 19044-2279
Phone (215) 442-5132

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015003197 NJ Practitioner - Internal Medicine 0840537965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihpnj ER LLC CurrentSince Mar 1, 2025 Accepting new patients
Inhospital Physicians Corp of New Jersey, PC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Apr 15, 2025 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Nov 30, 2020 Accepting new patients
Eoh Acquisition Group, LLC Past Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Past Accepting new patients
Hudson Hospital Opco LLC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

96 Parkway
Spc Hosp
Rochelle Park, NJ 07662
Phone (973) 450-2540

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1326494485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD STE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442279",
            "telephone_number": "215-442-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE DEPT OF MEDICINE VILLA BUILDING",
            "address_2": "1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "SYED",
        "middle_name": "SHAHAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "300693",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "300693",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10694500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.