Shai Shoshani, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MA09267900 Issued in NJ

Practice address

46 Union Ave
Cresskill, NJ 07626-2125

Phone

(201) 431-5115

Fax

(201) 399-7697

NPI assigned

May 28, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shai.shoshani.1@2983.direct.athenahealth.com

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.

• Summit Medical Group PA

  • Multi-Specialty Clinic/Center
  • Berkeley Heights, NJ
  • NPI 1942254347
  Medicare reassignment Care Compare group NPD
• Doctor's Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment NPD
• Doctors Office of Brick

  • Urgent Care Clinic/Center
  • Brick, NJ
  • NPI 1184067944
  Medicare reassignment NPD
• Doctors Office of New Jersey, LLC

  • Urgent Care Clinic/Center
  • Midland Park, NJ
  • NPI 1508264177
  Medicare reassignment NPD
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  Medicare reassignment NPD
• Sovereign Medical Group LLC

  • Urology Physician
  • Oradell, NJ
  • NPI 1710282082
  Medicare reassignment NPD
• Elite Sports Medicine and Wellness LLC

  • Sports Medicine (Family Medicine) Physician
  • Cresskill, NJ
  • NPI 1306350830
  Authorized official Same address or phone
• Englewood Knee & Sports Medicine PC

  dba Englewood Sports Medicine Orthopaedic Surgery PC

  • Orthopaedic Surgery Physician
  • Englewood, NJ
  • NPI 1316133564
  NPD
• Englewood Knee & Sports Medicine, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Saddle Brook, NJ
  • NPI 1922459445
  NPD
• Sovereign Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Glen Rock, NJ
  • NPI 1801266275
  NPD
• Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1043930555
  NPD
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609195726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-431-5115",
            "fax_number": "201-399-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-431-5115",
            "fax_number": "201-399-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSHANI",
        "first_name": "SHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09267900",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA09267900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Septimus, PH.D.
• Ellen Sewell, D.C.
• Shreyas Suresh Shah, RPH
• Michelle Shenfeld
• Mi Jung Shim, L.AC
• Erika N. Silva, LCSW
• Raul R Silva, M.D.
• Joy A Simha, LCSW
• Lori Simon, M.D.
• SJV 1 Cresskill Opco LLC (Sunrise of Cresskill)

• Sports Medicine (Family Medicine) Physician in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.