Active NPI
Shahid Latif, MD
- Cardiovascular Disease Physician
- Fords, NJ
National Provider Identifier
1609941764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA036172
- Practice address
- 565 New Brunswick Ave
Fords, NJ 08863 - Phone
- (732) 738-8000
- Fax
- (732) 738-1663
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA036172 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MA036172 | NJ | Primary |
Addresses
Primary practice location
565 New Brunswick Ave
Fords, NJ 08863
Mailing address
565 New Brunswick Ave
Fords, NJ 08863
Phone (732) 738-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257005 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000109 | NJ | Practitioner - Internal Medicine | 2365630258 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA036172 | NJ | MD | Cardiovascular Disease Physician |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Fords, NJ
- NPI 1215019997
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609941764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 NEW BRUNSWICK AVE",
"city": "FORDS",
"state": "NJ",
"postal_code": "08863",
"telephone_number": "732-738-8000",
"fax_number": "732-738-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 NEW BRUNSWICK AVE",
"city": "FORDS",
"state": "NJ",
"postal_code": "08863",
"telephone_number": "732-738-8000",
"fax_number": "732-738-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIF",
"first_name": "SHAHID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA036172",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA036172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1257005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fords, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.