Active NPI
Max G Deshaw, M.D.
- Infectious Disease Physician
- Morristown, NJ
National Provider Identifier
1508808940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA64037
- Practice address
- 25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456 - Phone
- (973) 538-5844
- Fax
- (973) 267-0181
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MA64037 | NJ | Primary |
Addresses
Primary practice location
25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456
Mailing address
25 Lindsley Dr Ste 311
Morristown, NJ 07960-4456
Phone (973) 538-5844
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D07188900 | Other | NJ | CDS PHYSICIAN CERT |
| MA64037 | Other | NJ | NJ STATE LICENSE |
| 7326203 | Medicaid | NJ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Minnesota Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
220 Ridgedale Ave
Suite C2
Florham Park, NJ 07932-1361
Phone (973) 538-5844
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Morristown Medical Center
- Overlook Medical Center
- Ahs Hospital Corp
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA64037 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Medical Associates of Morristown, P.a. | Infectious Disease | Current | Accepting new patients |
| Travel Heath Consultants, LLC | Infectious Disease | Past | Accepting new patients |
| Ipc Hospitalist Physicians of New Jersey PC | Past | Accepting new patients | |
| Ipc Hospitalist Physicians of New Jersey PC | Past | Accepting new patients |
Locations
220 Ridgedale Ave
Ste C2
Florham Park, NJ 07932
Phone (973) 538-5844
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
25 Lindsley Dr
Ste 311
Morristown, NJ 07960
Phone (973) 538-5844
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Morristown, NJ
- NPI 1194832840
-
- Internal Medicine Physician
- Vineland, NJ
- NPI 1013141423
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1639303159
-
- Infectious Disease Physician
- Florham Park, NJ
- NPI 1821372749
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
- Home Health Agency
- Morristown, NJ
- NPI 1104867969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1508808940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LINDSLEY DR STE 311",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079604456",
"telephone_number": "973-538-5844",
"fax_number": "973-267-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LINDSLEY DR STE 311",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079604456",
"telephone_number": "973-538-5844",
"fax_number": "973-267-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHAW",
"first_name": "MAX",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "MA64037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS PHYSICIAN CERT",
"identifier": "D07188900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "MA64037",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7326203",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.