Rabie M Shanti, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22DI02438500 Issued in NJ

Practice address

110 Bergen St RM B-854
Newark, NJ 07103-2495

Phone

(739) 972-3126

Fax

(973) 972-7322

NPI assigned

Aug 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Rutgers School of Dental Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutgers University Dental Associates-New BrunswickGroup PAC ID 4385922251, 6 clinicians

Rutgers Health - University Dental AssociatesGroup PAC ID 7113811837, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
• The University Hospital Hospital, Newark, NJ, CCN 310119
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rutgers Health -University Dental Associates

  • Endodontics
  • Newark, NJ
  • NPI 1346454584
  Medicare reassignment Care Compare group NPD
• Rutgers University Dental Associates-New Brunswick

  • Dentist
  • New Brunswick, NJ
  • NPI 1164874376
  Medicare reassignment Care Compare group NPD
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1073712543
  Medicare reassignment NPD
• Rutgers Health - RSDM Dental Associates - New Brunswick Os - NB

  • Oral and Maxillofacial Surgery (Dentist)
  • New Brunswick, NJ
  • NPI 1164171930
  NPD
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1487853248
  NPD
• University of Penn-Medical Group

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1225426331
  NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

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

• Kessler Institute for Rehabilitation Inc

  dba Kessler Rehabilitation Center

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare affiliation

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1811202633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST RM B-854",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "739-972-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST RM B-854",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "739-972-3126",
            "fax_number": "973-972-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTI",
        "first_name": "RABIE",
        "middle_name": "M",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "MD458380",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD458380",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "PA",
            "license": "MD458380",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02438500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Benjamin Shamsian, DO
• Bo Shan, DMD
• Clayona Shand, NP
• Srinidhi Shanmugasundaram
• Chenisa Shannon
• Carey Shao, DMD
• Alice Shapiro
• Yashsavi Sharad
• Leroy Ralph Sharer, M.D.
• Fariba Sharifan, DMD

• Oral & Maxillofacial Surgery (D.M.D.) in Newark, NJ
• Providers in Newark, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.