Organization Active NPI

Shad Pulmonary and Critical Care Consultants, LLC

  • Pulmonary Disease Physician
  • Denville, NJ
National Provider Identifier
1447406491
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA07564400 Issued in NJ
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

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Abdur Rauf ShadNPI 1225124738
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080911000109 NJ Part B Supplier - Clinic/Group Practice 3072689371 Receives reassigned benefits from 1 practitioner
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.