Individual provider Active NPI

Tasneem F Shamim, M.D

  • Ophthalmology Physician
  • Somerset, NJ
National Provider Identifier
1518987791
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA41521 Issued in NJ
Practice address
1283 Route 27
Somerset, NJ 08873
Phone
(732) 745-4844
Fax
(732) 545-3423
NPI assigned
Jul 20, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA41521 NJ Primary

Addresses

Primary practice location

1283 Route 27
Somerset, NJ 08873

Mailing address

1283 State Highway No. 27
Somerset, NJ 08873
Phone (732) 745-4844

Other identifiers 1

IdentifierTypeStateIssuer
2066301MedicaidNJ

Other names 1

  • Tasneem F Shamim Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000553 NJ Practitioner - Ophthalmology 5193889905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tasneem F Shamim MD, L.L.CGroup PAC ID 3779765912, 3 clinicians

Practice addresses (Care Compare)

1283 Lincoln Hwy
Suite 1
Somerset, NJ 08873-5053
Phone (732) 745-4844

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA41521NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tasneem F Shamim MD, L.L.C Ophthalmology CurrentSince Nov 2, 2010 Accepting new patients
Franklin Gastroenterology PastSince Dec 3, 2023 Accepting new patients

Locations

1283 Lincoln Hwy
Ste 1
Somerset, NJ 08873
Phone (732) 745-4844

1283 State Route 27
Somerset, NJ 08873
Phone (732) 745-4844

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1518987791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 STATE HIGHWAY NO. 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-745-4844",
            "fax_number": "732-545-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-745-4844",
            "fax_number": "732-545-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIM",
        "first_name": "TASNEEM",
        "middle_name": "F",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA41521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASNEEM",
            "last_name": "SHAMIM",
            "middle_name": "F",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.