Individual provider Active NPI

Syed Qaiser Shamim, MD

  • Gastroenterology Physician
  • Somerset, NJ
National Provider Identifier
1811985047
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04115600 Issued in NJ
Practice address
1283 State Route 27
Somerset, NJ 08873-5005
Phone
(732) 745-9025
Fax
(732) 545-3423
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA04115600 NJ Primary
Internal Medicine Physician 207R00000X 25 MA04115600 NJ

Addresses

Primary practice location

1283 State Route 27
Somerset, NJ 08873-5005

Mailing address

1283 State Route 27
Somerset, NJ 08873-5005
Phone (732) 745-9025

Other identifiers 1

IdentifierTypeStateIssuer
1443305MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000381 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 8729114210 Reassigns benefits to 1 organization
Practice locations: Somerset, NJ

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1283 State Route 27
Somerset, NJ 08873-5053
Phone (732) 745-9025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25 MA04115600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Gastroenterology Gastroenterology CurrentSince Jan 1, 2024 Accepting new patients
Tasneem F Shamim MD, L.L.C PastSince Jan 1, 2024 Accepting new patients

Locations

1283 State Route 27
Somerset, NJ 08873
Phone (732) 745-4844

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1811985047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735005",
            "telephone_number": "732-745-9025",
            "fax_number": "732-545-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735005",
            "telephone_number": "732-745-9025",
            "fax_number": "732-545-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIM",
        "first_name": "SYED",
        "middle_name": "QAISER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04115600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25 MA04115600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.