Active NPI
Zabi Z Shahsamand, M.D.
- Anesthesiology Physician
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08751600
- Practice address
- 1 Bay Ave
Montclair, NJ 07042-4837 - Phone
- (973) 429-6982
- Fax
- (845) 357-5777
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08751600 | NJ | Primary |
Addresses
Primary practice location
1 Bay Ave
Montclair, NJ 07042-4837
Mailing address
100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241792 | Medicaid | NJ | |
| 03252302 | Medicaid | NY | |
| P00893730 | Other | NJ | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 880-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08751600 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Ambulatory Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Vivian K. Bethala, MD PA | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | Accepting new patients |
| Ramapo Valley Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Locations
925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556
925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408
466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
52 1st St
Hackensack, NJ 07601
Phone (201) 488-3003
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100
130 Kinderkamack Rd
Ste 301
River Edge, NJ 07661
Phone (201) 489-7772
301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559
1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002
250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000
1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277
Interoperability endpoints
- zshahsamand324436@ahs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/JJIGAA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
-
- Specialist
- Emerson, NJ
- NPI 1568412799
-
- Anesthesiology Physician
- Watchung, NJ
- NPI 1154576387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HackensackUMC at Pascack Valley
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1831353655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 105",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5775",
"fax_number": "845-357-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAY AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424837",
"telephone_number": "973-429-6982",
"fax_number": "845-357-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHSAMAND",
"first_name": "ZABI",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08751600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0241792",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03252302",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00893730",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.