Organization Active NPI

Jeffrey M Shaari MD LLC

  • Otolaryngology Physician
  • West New York, NJ
National Provider Identifier
1801977699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA80868 Issued in NJ
Legal business name
JEFFREY M SHAARI MD LLC
Practice address
413 60TH St
West New York, NJ 07093-2211
Phone
(201) 867-5557
Fax
(201) 867-5566
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey M. Shaari, M.D.NPI 1891742342
Title
President
Phone
(201) 867-5557

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MA80868 NJ Primary

Addresses

Primary practice location

413 60TH St
West New York, NJ 07093-2211

Mailing address

413 60TH St
West New York, NJ 07093-2211
Phone (201) 867-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070411000152 NJ Part B Supplier - Clinic/Group Practice 7719082395 Receives reassigned benefits from 1 practitioner
Practice locations: West New York, NJ; North Bergen, NJ; Hoboken, NJ; Hackensack, NJ; Jersey City, NJ

National Provider Directory

National Provider Directory

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801977699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-5557",
            "fax_number": "201-867-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-867-5557",
            "fax_number": "201-867-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M SHAARI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAARI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-867-5557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA80868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.