Active NPI
Syed Shahab Kazmi, M.D.
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10694500
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000
Hospital & facility affiliations
- Carewell Health Medical Center
- Carepoint Health - Bayonne Medical Center
- Heights University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihpnj ER LLC | Current | Accepting new patients | |
| Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Internal Medicine | Current | 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.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Internal Medicine
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1134534688
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.