Shahed Abbasi
Individual provider Active NPI Internal Medicine Physician · Newark, NJ
NPI 1477810752 · NPPES record last updated Nov 4, 2015
Key facts
- NPI
- 1477810752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA09712900 (NJ)
- Practice address
- 150 Bergen St
Uh-H245
Newark, NJ 07103-2496 - Phone
- (973) 972-5672
- Fax
- (973) 972-0365
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Care Medical Group PLLC
Practice addresses (Care Compare)
150 Riverside Dr
New York, NY 10024-2298
Phone (646) 505-3500
Hospital & facility affiliations
- Bronx Gardens Rehabilitation and Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150903002687 | NJ | Practitioner - Internal Medicine | 5496061582 | Reassigns benefits to 1 organization |
| I20230202001870 | NY | Practitioner - Internal Medicine | 5496061582 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Internal Medicine | Current |
Accepting new patients |
| Medical Director Services PC | Current |
Accepting new patients | |
| JDS Medical Services PC | Current |
Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| SBNH Acquisition LLC | Past | Accepting new patients |
Locations
150 Bergen St
#245
Newark, NJ 07103
Phone (973) 972-5672
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
150 Bergen St
#H245
Newark, NJ 07103
Phone (973) 972-5672
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09712900 | NJ | Yes |
Addresses
Primary practice location
150 Bergen St
Uh-H245
Newark, NJ 07103-2496
Mailing address
150 Bergen St
Uh-H245
Newark, NJ 07103-2496
Phone (973) 972-5672
Other providers in Newark, NJ
- ABA Day by Day LLC
- ABA Day by Day LLC- Respite
- Sampson Abah
- Ahmed Abbas
- Mohammad Abbas
- Muhammad Abbass
- Mahmoud Abbassi
- Sarah M Abbassi
- Yazan Abboud
- Malaz A Abdalla
All providers in Newark, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.