Individual provider Active NPI

Danish S. Shahmehdi, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1407354939
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00795000 Issued in NJ
Practice address
641 US Highway 130
Hamilton, NJ 08691-2101
Phone
(609) 568-9383
Fax
(609) 568-9384
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00795000 NJ Primary

Addresses

Primary practice location

641 US Highway 130
Hamilton, NJ 08691-2101

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406001168 NJ Practitioner - Nurse Practitioner 2769745611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

641 US Hwy 130
Hamilton, NJ 08691-2101
Phone (609) 568-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00795000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Maryland Physicians Group P C CurrentSince Mar 18, 2019 Accepting new patients
Patient First Maryland Physician'S Group PC CurrentSince Mar 18, 2019 Accepting new patients
Clare Medical of New Jersey LLC CurrentSince Feb 25, 2019 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

641 US Highway 130
Hamilton, NJ 08691
Phone (609) 568-9383

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
  • Direct secure messaging: njexchange@patientfirstclinics.com

Organizations & group practices 5

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1407354939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 US HIGHWAY 130",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912101",
            "telephone_number": "609-568-9383",
            "fax_number": "609-568-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMEHDI",
        "first_name": "DANISH",
        "middle_name": "S.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00795000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "641 US Highway 130",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086912101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.