Active NPI
Shawn Isteak Hossain, D.O.
- Psychiatry Physician
- Berlin, NJ
National Provider Identifier
1457511776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MB09972800
- Practice address
- 175 Cross Keys Rd
Berlin, NJ 08009-9263 - Phone
- (856) 753-7335
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 02003626A | IN | |
| Psychiatry Physician | 2084P0800X | 25MB09972800 | NJ | Primary |
Addresses
Primary practice location
175 Cross Keys Rd
Berlin, NJ 08009-9263
Mailing address
175 Cross Keys Rd
Berlin, NJ 08009-9263
Phone (856) 753-7335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003626A | IN | MD | Psychiatry Physician |
| 25MB09972800 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1457511776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CROSS KEYS RD",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099263",
"telephone_number": "856-753-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CROSS KEYS RD",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099263",
"telephone_number": "856-753-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSAIN",
"first_name": "SHAWN",
"middle_name": "ISTEAK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "02003626A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB09972800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.