Active NPI
Hosam M Shemis, PT
- Physical Therapist
- Aberdeen, NJ
National Provider Identifier
1851119366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02296100
- Practice address
- 1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151 - Phone
- (732) 970-7882
- Fax
- (732) 970-7883
- NPI assigned
- Oct 2, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02296100 | NJ | Primary |
Addresses
Primary practice location
1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151
Mailing address
1077 Highway 34 Ste M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Rutgers New Jersey Medical School, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 10TH Ave
Belmar, NJ 07719-2317
Phone (908) 670-6695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02296100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proform Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Coastal Home Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Proform Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Belmar, NJ
- NPI 1316236664
Physical Therapist
-
- Physical Therapist
- Aberdeen, NJ
- NPI 1073958351
-
- Physical Therapist
- Edison, NJ
- NPI 1861047854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1851119366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 HIGHWAY 34 STE M",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077472151",
"telephone_number": "732-970-7882",
"fax_number": "732-970-7883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 HIGHWAY 34 STE M",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077472151",
"telephone_number": "732-970-7882",
"fax_number": "732-970-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMIS",
"first_name": "HOSAM",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02296100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.