Hamid Salim Shaaban, M.D

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA089190000 Issued in NJ

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(973) 877-5000

NPI assigned

Apr 24, 2011

Last updated

Apr 24, 2011By the provider in NPPES

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

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

Specialty

Medical OncologyAlso: Infectious Disease

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Everyday Urgent Care LLCGroup PAC ID 2668883281, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Michael's Medical Center Hospital, Newark, NJ, CCN 310096

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  Medicare reassignment Care Compare group NPD
• Everyday Urgent Care LLC

  • Urgent Care Clinic/Center
  • Maywood, NJ
  • NPI 1578170254
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545
  NPD (past)

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

• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545
  Care Compare affiliation

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1578854618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CREST CIR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAABAN",
        "first_name": "HAMID",
        "middle_name": "SALIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA089190000",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA089190000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seventh Heaven Counseling Services
• Seventh Heaven Counseling Services (Seventh Heaven)
• Grace Severance, MD
• Chintel Sewell, RBT
• Jacquelyn Bliss Katchuk Sexton, NP
• Maria Shabih
• Jessica Elizabeth Shabo, M.D.
• Mabad Shacker
• Kyyania Shaddad, CERTIFIED DOULA
• Jasmine Shafei, MD

• Infectious Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.