Individual provider Active NPI

Shafaq Zaman Tarar, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1366049330
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12197800 Issued in NJ
Practice address
533 Lexington Ave
Clifton, NJ 07011-1923
Phone
(973) 546-6844
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12197800 NJ Primary

Addresses

Primary practice location

533 Lexington Ave
Clifton, NJ 07011-1923

Mailing address

31 Armstrong Ave
Wayne, NJ 07470-6358
Phone (929) 855-8624

Other practice location 1

211 E 51st St
New York, NY 10022-6526
Phone (332) 263-4467

Other practice location 2

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240109001281 NY Practitioner - Internal Medicine 4082065628 Reassigns benefits to 1 organization
I20240703001743 NJ Practitioner - Internal Medicine 4082065628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

533 Lexington Ave
Clifton, NJ 07011-1923
Phone (973) 546-6844

612 Rugherford Ave
Lyndhurst, NJ 07071-1217
Phone (200) 460-0063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office of Manhattan PLLC CurrentSince Nov 27, 2023 Accepting new patients
BHMG - United Medical Internal Medicine CurrentSince Apr 13, 2024 Accepting new patients

Locations

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

201 E 65th St
New York, NY 10065
Phone (212) 879-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1366049330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ARMSTRONG AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706358",
            "telephone_number": "929-855-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 LEXINGTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111923",
            "telephone_number": "973-546-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 51st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100226526",
            "country_code": "US",
            "telephone_number": "332-263-4467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-2625",
            "fax_number": "718-920-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARAR",
        "first_name": "SHAFAQ",
        "middle_name": "ZAMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12197800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.