Organization Active NPI

Intensivist MD Support LLC

  • Pulmonary Disease Physician
  • Cranbury, NJ
National Provider Identifier
1609494319
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
INTENSIVIST MD SUPPORT LLC
Practice address
2650 Route 130 Ste B
Cranbury, NJ 08512-3327
Phone
(201) 844-9062
Fax
(201) 365-5737
NPI assigned
Jul 9, 2020
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Hassan Shahid, MDNPI 1619387040
Title
Owner
Phone
(201) 844-9062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

2650 Route 130 Ste B
Cranbury, NJ 08512-3327

Mailing address

2650 US Highway 130 Ste B
Cranbury, NJ 08512-3327
Phone (201) 844-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112002914 NJ Part B Supplier - Clinic/Group Practice 4880007871 Receives reassigned benefits from 1 practitioner
Practice locations: Cranbury, NJ

National Provider Directory

National Provider Directory

Locations

2650 US Highway 130
Ste B
Cranbury, NJ 08512
Phone (201) 844-9062

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1609494319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 US HIGHWAY 130 STE B",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123327",
            "telephone_number": "201-844-9062",
            "fax_number": "201-365-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ROUTE 130 STE B",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123327",
            "telephone_number": "201-844-9062",
            "fax_number": "201-365-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVIST MD SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-844-9062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.