Individual provider Active NPI

Fayez Shamoon, M.D.

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1528053477
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05551600 Issued in NJ
Practice address
35-37 Progress St
Edison, NJ 08820
Phone
(908) 754-9292
Fax
(908) 754-3358
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA05551600 NJ Primary

Addresses

Primary practice location

35-37 Progress St
Edison, NJ 08820

Mailing address

35-37 Progress St
Edison, NJ 08820
Phone (908) 754-9292

Other identifiers 1

IdentifierTypeStateIssuer
6884504MedicaidNJ

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
I20050706000929 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1557307048 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Michaels Cardiology AssociatesGroup PAC ID 9830224153, 8 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

268 Dr M L King Jr Blvd
Newark, NJ 07102-2011
Phone (973) 678-5700

582 Kearny Ave
Suite 1
Kearny, NJ 07032-2806
Phone (973) 877-5160

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 30, 2021 Accepting new patients
Trinitas Physicians Practice, LLC Cardiovascular Disease CurrentSince Mar 24, 2014 Accepting new patients
St Michaels Cardiology Associates Cardiovascular Disease CurrentSince Feb 13, 1985 Accepting new patients
Comprehensive Cardiovascular Consultants PC Cardiovascular Disease CurrentSince Jun 5, 2006 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 1, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Nov 13, 2015 Accepting new patients
Essex Emergency Associates, P.a. Past Accepting new patients
Fayez Shamoon Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients
Central Avenue Professional Services, PC Cardiovascular Disease Past Accepting new patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease PastSince Sep 1, 2014 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

582 Kearny Ave
#1
Kearny, NJ 07032
Phone (973) 877-5160

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528053477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-754-9292",
            "fax_number": "908-754-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "908-754-9292",
            "fax_number": "908-754-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMOON",
        "first_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05551600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6884504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.