Abbas a. Shehadeh MD, PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ABBAS A. SHEHADEH MD, PA

Practice address

111 Northfield Ave
Suite 304
West Orange, NJ 07052-4795

Phone

(973) 731-0203

NPI assigned

Aug 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abbas Shehadeh, MDNPI 1215900774

Title

President

Phone

(973) 731-0203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abbas A. Shehadeh, MD

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1215900774
  Medicare reassignment NPD Authorized official
• Addi Suleiman, M.D.

  • Interventional Cardiology Physician
  • Rockford, IL
  • NPI 1518262088

  NJ

  Medicare reassignment NPD
• Santa Crisall, RN

  • Gerontology Nurse Practitioner
  • Newark, NJ
  • NPI 1952356149
  NPD (past)
• Joseph Scott Feldman, DPM

  • Foot Surgery Podiatrist
  • East Orange, NJ
  • NPI 1295826998
  NPD (past)
• David S. Haacker, MD

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1902879000
  NPD (past)
• Lina Shihabuddin, MD

  • Geriatric Psychiatry Physician
  • Newark, NJ
  • NPI 1528014925
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366550782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE",
            "address_2": "SUITE 304",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524795",
            "telephone_number": "973-731-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE",
            "address_2": "SUITE 304",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524795",
            "telephone_number": "973-731-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS A. SHEHADEH MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEHADEH",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-731-0203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Prospect Physical Therapy, LLC
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• 828 Express LLC
• Jason Ailbruz Abaza, DC
• Abbassi and Agrama P C
• Samih Rajab Abbassi, MD
• Marc Abbate, MD
• Cynthia Abbott
• Somaya Abboud, MD

• Interventional Cardiology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Interventional Cardiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.