Shaheda Ali, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05920400 Issued in NJ

Practice address

1700 Myrtle Ave
Plainfield, NJ 07063-1000

Phone

(908) 753-6401

Fax

(908) 226-6743

NPI assigned

Apr 10, 2007

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/13669/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 and National Provider Directory roles.

• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
  • NPI 1003850488

  Internal Medicine, NJ

  Medicare reassignment NPD
• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Plainfield, NJ
  • NPI 1316981707

  Internal Medicine

  NPD
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801019971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-226-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-226-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SHAHEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05920400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "25MA05920400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D06236700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casimir U Akunna
• Gloria U Akunna
• Edward A. Alder, MD
• Sireesha Aleti, MD
• Mohsin Ali, M.D.
• Allan D. Tiedrich, M.D. P.a.
• Saif Alnasseri, RPH
• Alt Spinal Health & Rehab LLC
• Duneska Alvarez
• Mercy Mark Amadin

• All providers in Plainfield, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.