Active NPI
Shad Pulmonary and Critical Care Consultants, LLC
- Pulmonary Disease Physician
- Denville, NJ
National Provider Identifier
1447406491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA07564400
- Legal business name
- SHAD PULMONARY AND CRITICAL CARE CONSULTANTS, LLC
- Practice address
- 16 Pocono Rd
Sutie 103
Denville, NJ 07834-2901 - Phone
- (973) 309-4324
- NPI assigned
- Aug 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abdur Rauf Shad
- Title
- M.D.
- Phone
- (201) 967-8425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA07564400 | NJ | Primary |
Addresses
Primary practice location
16 Pocono Rd
Sutie 103
Denville, NJ 07834-2901
Mailing address
PO Box 174
Mountain Lakes, NJ 07046-0174
Phone (201) 967-8425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
3219 Route 46
Ste 114
Parsippany, NJ 07054
Phone (973) 309-4324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Morristown, NJ
- NPI 1225124738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1447406491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 174",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070460174",
"telephone_number": "201-967-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 POCONO RD",
"address_2": "SUTIE 103",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342901",
"telephone_number": "973-309-4324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAD PULMONARY AND CRITICAL CARE CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-11",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "SHAD",
"authorized_official_first_name": "ABDUR",
"authorized_official_middle_name": "RAUF",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "201-967-8425",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA07564400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.