Organization Active NPI

Good Shepherad Medical Group,LLC

  • Cardiovascular Disease Physician
  • East Brunswick, NJ
National Provider Identifier
1659529246
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA60096 Issued in NJ
Legal business name
GOOD SHEPHERAD MEDICAL GROUP,LLC
Practice address
E5 Brier Hill CT
East Brunswick, NJ 08816-3336
Phone
(732) 698-1331
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Moheb AbdelmalekNPI 1699776179
Title
Physician
Phone
(732) 698-1331

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MA60096 NJ Primary

Addresses

Primary practice location

E5 Brier Hill CT
East Brunswick, NJ 08816-3336

Mailing address

E5 Brier Hill CT
East Brunswick, NJ 08816-3336
Phone (732) 698-1331

National Provider Directory

National Provider Directory

Locations

E5 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 698-1331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1659529246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163336",
            "telephone_number": "732-698-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163336",
            "telephone_number": "732-698-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERAD MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "ABDELMALEK",
        "authorized_official_first_name": "MOHEB",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-698-1331",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA60096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.