Shahida Abbas MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MAO64127 Issued in NJ

Legal business name

SHAHIDA ABBAS MD LLC

Practice address

1451 Route 88
Suite 12
Brick, NJ 08724-2371

Phone

(732) 836-0500

Fax

(732) 836-0502

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shahida Abbas, M.D

Title

Owner

Phone

(732) 836-0500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1407065337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "SUITE 12",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-836-0500",
            "fax_number": "732-836-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 ROUTE 88",
            "address_2": "SUITE 12",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242371",
            "telephone_number": "732-836-0500",
            "fax_number": "732-836-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDA ABBAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-836-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO64127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7753306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalpana Shah, MD
• Nisha K Shah, PHYSICIAN ASSISTANT
• Roshan Shah
• Saloni Shah, DO
• Viraj Shah, MD
• Don Daniel Shamilov, DO
• Audrey Sharp
• Frank Sharp, MD
• John Shenouda, M.D.
• Michael Laurence Sher, MD

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.