Shahid N Haque, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MA 032179 Issued in NJ

Practice address

218 Commonsway
BLDG B
Toms River, NJ 08755

Phone

(732) 244-4448

Fax

(732) 244-4818

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, MO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
• Direct secure messaging: shaque@shaq.curemd.direct-ci.com

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.

• Deborah Cardiovascular Group, P.C.

  • Specialist
  • Browns Mills, NJ
  • NPI 1821041732

  NJ

  Medicare reassignment NPD
• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375

  MO

  Medicare reassignment NPD
• Cameron Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811080310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 COMMONSWAY",
            "address_2": "BLDG B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-244-4448",
            "fax_number": "732-244-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 COMMONSWAY",
            "address_2": "BLDG B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-244-4448",
            "fax_number": "732-244-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SHAHID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA 032179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "22-2321871",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph S Hannah, DMD
• Michele Nichole Hans, COTA
• Rashidah Nicole Hansen, LPC
• Happy Place ABA LLC
• Salma Haque, M.D.
• Russell L Harrell, M.D.
• Alaina Christine Harrington, DMD, MD
• Mark T Harrington Jr., D.O.
• Colin Gabe Harris, MD
• Daniel B. Harrison, LPC

• Vascular Surgery Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.