Active NPI
Shahrokh Ahkami, M.D.
- Obstetrics & Gynecology Physician
- Passaic, NJ
National Provider Identifier
1740237197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA023763
- Practice address
- 110 Passaic Ave
Passaic, NJ 07055-4827 - Phone
- (973) 471-9585
- Fax
- (973) 471-8534
- NPI assigned
- May 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA023763 | NJ | Primary |
Addresses
Primary practice location
110 Passaic Ave
Passaic, NJ 07055-4827
Mailing address
110 Passaic Ave
Passaic, NJ 07055-4827
Phone (973) 471-9585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401005 | 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 |
|---|---|---|---|---|
| I20041103000518 | NJ | Practitioner - Obstetrics/Gynecology | 6709848575 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA023763 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys General Medical Group PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ahkami Medical Group | Current | Accepting new patients |
Locations
350 Boulevard
Ste 100
Passaic, NJ 07055
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
Interoperability endpoints
- shahrokh.ahkami@ahkami.ehi.direct-ci.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
NJ, Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740237197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PASSAIC AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554827",
"telephone_number": "973-471-9585",
"fax_number": "973-471-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PASSAIC AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554827",
"telephone_number": "973-471-9585",
"fax_number": "973-471-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHKAMI",
"first_name": "SHAHROKH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA023763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0401005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.