Shabnam Tahera Sabur, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00867200 Issued in NJ

Practice address

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528

Phone

(908) 281-0221

NPI assigned

Mar 1, 2017

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Emory University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Id Care LLCGroup PAC ID 7719959998, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Peter's University Hospital Hospital, New Brunswick, NJ, CCN 310070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Id Care LLC

  • Infectious Disease Physician
  • Hillsborough, NJ
  • NPI 1639146277
  Medicare reassignment Care Compare group NPD
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• Saint Peter's University Hospital

  dba Saint Peter's Behavioral Health Group

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• Ecc Addiction & Toxicology Services LLC

  • Medical Toxicology (Emergency Medicine) Physician
  • Minneapolis, MN
  • NPI 1629532429
  NPD (past)

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

• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Care Compare affiliation

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1689114217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABUR",
        "first_name": "SHABNAM",
        "middle_name": "TAHERA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00867200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bryan Rosenblum, MA, MS, ATC
• Lauri Rosenthal, M.S
• Suzanne Rosenthal, LCSW
• Samantha Angel Rotondo Venet, APN-C
• Jamaal Emmanuel Ryan, LSW
• Mina Said
• Charlene Balan Saint Clair, O.D.
• Salandra Physical Therapy, LLC
• Salcap Inc (Hillsboro Pharmacy)
• Shreyas Saligram, M.D.

• Family Nurse Practitioner in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.