Maasi Shamilov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA06509800 Issued in NJ

Practice address

765 E Route 70 BLDG 100-a
Marlton, NJ 08053-2341

Phone

(856) 983-3900

Fax

(856) 810-0110

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NC2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: maasi.shamilov.p1@direct.cfg.nextgenshare.com

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.

• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Services - Saint Clare'S LLC

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1497134274
  Medicare reassignment NPD
• Professional Service Fund of Deborah Heart & Lung Center

  • Specialist
  • Browns Mills, NJ
  • NPI 1407803596
  Medicare reassignment NPD
• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  Medicare reassignment NPD
• Internal Medicine of Morris County LLC

  • Internal Medicine Physician
  • Mine Hill, NJ
  • NPI 1568570489
  Medicare reassignment
• Legacy Treatment Services Inc

  • Community/Behavioral Health Agency
  • Hainesport, NJ
  • NPI 1730594656
  NPD
• Prime Healthcare Services - Saint Clare'S LLC

  • Psychiatric Hospital Unit
  • Boonton Township, NJ
  • NPI 1902286172
  NPD
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748
  NPD
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD
• Clear Direction Recovery Centers, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marlton, NJ
  • NPI 1235755646

  Psychiatry

  NPD (past)
• Elmwood Hills Healthcare Center LLC

  • Psychiatric Hospital
  • Blackwood, NJ
  • NPI 1487070793
  NPD (past)
• Whidbey Island Public Hospital District

  • Psychiatry Physician
  • Holmdel, NJ
  • NPI 1104365261
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System Inc

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1528073491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STEAD CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434121",
            "telephone_number": "856-489-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E ROUTE 70 BLDG 100-A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532341",
            "telephone_number": "856-983-3900",
            "fax_number": "856-810-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMILOV",
        "first_name": "MAASI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA 65098",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06509800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7270402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hetal S Shah, M.D.
• Sarah J Shah, DNP, APN, A-GNP-C
• Tarak Shah, D.D.S.
• Yash Shah
• Jacqueline Shall-McCumiskey, PSY. D.
• Jessica Sharifi-Azad, RPA-C
• Nicolette Marie Sheehan
• Hameed A Sheikh, MD
• Seema Shekar, DO
• Jennifer Sheldon, ST

• Psychiatry Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.

Verify at the official NPI Registry.