Individual provider Active NPI

Huzaifa Abbas Shakir, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Passaic, NJ
National Provider Identifier
1437290707
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MA07667700 Issued in NJ
Practice address
350 Boulevard
Suite 130
Passaic, NJ 07055-2840
Phone
(973) 365-4567
NPI assigned
Feb 9, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA07667700 NJ Primary

Addresses

Primary practice location

350 Boulevard
Suite 130
Passaic, NJ 07055-2840

Mailing address

2 Old Tennent CT
East Brunswick, NJ 08816-3261
Phone (732) 238-1919

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000255 NJ Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7911004957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-0037

350 Engle St
6TH Floor Berrie
Englewood, NJ 07631-1808
Phone (201) 608-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 17, 2017 Accepting new patients
Nbimc Department of Cardio-Thoracic Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2012 Accepting new patients
University Physician Associates of New Jersey Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 2, 2019 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic, LLC CurrentSince Jul 31, 2014 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jan 2, 2019 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC CurrentSince Jul 31, 2014 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 17, 2017 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
Fl 6
Englewood, NJ 07631
Phone (201) 568-5250

22-18 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 608-2144

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

350 Boulevard
Ste 130
Passaic, NJ 07055
Phone (973) 365-4567

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1437290707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD TENNENT CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163261",
            "telephone_number": "732-238-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "address_2": "SUITE 130",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "HUZAIFA",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA07667700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.