Active NPI
Umar Jamshed Sharif Khawaja, MBBS
- Endocrinology, Diabetes & Metabolism Physician
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA1077200
- Practice address
- 947 Linwood Ave
Ridgewood, NJ 07450-2939 - Phone
- (014) 445-5522
- NPI assigned
- Apr 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA1077200 | NJ | Primary |
Addresses
Primary practice location
947 Linwood Ave
Ridgewood, NJ 07450-2939
Mailing address
947 Linwood Ave
Ridgewood, NJ 07450-2939
Phone (201) 444-5552
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200430001535 | NJ | Practitioner - Endocrinology | 2567892706 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Physician Services PC
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
Hospital & facility affiliations
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA1077200 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usk Management Corporation | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Valley Physician Services, Inc. | Past | Accepting new patients | |
| Rutgers New Jersey Medical School | Past | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Past | Accepting new patients |
Locations
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
947 Linwood Ave
Ste 1W
Ridgewood, NJ 07450
Phone (201) 444-5552
947 Linwood Ave
Ridgewood, NJ 07450
Phone (201) 444-5552
Interoperability endpoints
- umar.sharif.khawaja.1@5622.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1619383585
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- General Practice Physician
- Ridgewood, NJ
- NPI 1154470870
Hospital & facility affiliations 1
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": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1508399163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 LINWOOD AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502939",
"telephone_number": "201-444-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 LINWOOD AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502939",
"telephone_number": "014-445-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARIF KHAWAJA",
"first_name": "UMAR",
"middle_name": "JAMSHED",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA1077200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.