Organization Active NPI

Mehdi T. Shaari,M.D.,P.C.

  • Otolaryngology Physician
  • West New York, NJ
National Provider Identifier
1376619817
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA024208 Issued in NJ
Legal business name
MEHDI T. SHAARI,M.D.,P.C.
Practice address
413 60TH St
West New York, NJ 07093-2211
Phone
(201) 867-5556
Fax
(201) 867-5566
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Mehdi T. Shaari, M.D.
Title
President
Phone
(201) 867-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MA024208 NJ Primary

Addresses

Primary practice location

413 60TH St
West New York, NJ 07093-2211

Mailing address

413 60TH St
West New York, NJ 07093-2211
Phone (201) 867-5556

Other identifiers 6

IdentifierTypeStateIssuer
0106475000OtherNJAMERIHEALTH
0055351OtherNJGHI
OK1108OtherNJHEALTHNET
5176499OtherNJAETNA
HS155OtherNJOXFORD
52439OtherNJWELLCHOICE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1376619817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-5556",
            "fax_number": "201-867-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-5556",
            "fax_number": "201-867-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI T. SHAARI,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "SHAARI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-867-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA024208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0106475000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0055351",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OK1108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5176499",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HS155",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "52439",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.