Individual provider Active NPI

Zabi Z Shahsamand, M.D.

  • Anesthesiology Physician
  • Montclair, NJ
National Provider Identifier
1831353655
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08751600 Issued in NJ
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

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0241792MedicaidNJ
03252302MedicaidNY
P00893730OtherNJRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000165 NJ Practitioner - Anesthesiology 0143415810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

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

LicenseStateTypeSpecialty
25MA08751600NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Feb 20, 2015 Accepting new patients
Vivian K. Bethala, MD PA CurrentSince Feb 1, 2016 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Sep 15, 2020 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince Mar 14, 2015 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

  • Direct secure messaging: zshahsamand324436@ahs.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.