NPIMap

Individual provider Active NPI

Shahnaz Akhtar, MD

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1619912102
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71767 Issued in NJ
Practice address
16 E 29TH St
Bayonne, NJ 07002-4603
Phone
(201) 339-1685
Fax
(201) 339-2557
NPI assigned
Jun 18, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA71767 NJ Primary

Addresses

Primary practice location

16 E 29TH St
Bayonne, NJ 07002-4603

Mailing address

16 E 29TH St
Bayonne, NJ 07002-4603
Phone (201) 339-1685

Other identifiers 1

IdentifierTypeStateIssuer
8390401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000249 NJ Practitioner - Internal Medicine 4880638543 Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 E 29TH St
Bayonne, NJ 07002-4603
Phone (201) 339-1685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA71767NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S.Akhtar.MD.LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Ijkg Opco LLC Past Accepting new patients
Essex Garden Group LLC Past Accepting new patients

Locations

16 E 29th St
Bayonne, NJ 07002
Phone (201) 339-1685

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGIFCD/Endpoint/GGIFCD
  • Direct secure messaging: sakhtar@direct.bayonnemedicalcenter.md

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1619912102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024603",
            "telephone_number": "201-339-1685",
            "fax_number": "201-339-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024603",
            "telephone_number": "201-339-1685",
            "fax_number": "201-339-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "SHAHNAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.