Individual provider Active NPI

Nasir Shaikh, M.D.

  • Family Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1861440281
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07293600 Issued in NJ
Practice address
100 Federal City Rd
BLDG. a
Lawrenceville, NJ 08648-1664
Phone
(609) 620-1380
Fax
(609) 771-8991
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07293600 NJ Primary

Addresses

Primary practice location

100 Federal City Rd
BLDG. a
Lawrenceville, NJ 08648-1664

Mailing address

100 Federal City Rd
BLDG. a
Lawrenceville, NJ 08648-1664
Phone (609) 620-1380

Other identifiers 1

IdentifierTypeStateIssuer
8587604MedicaidNJ

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
I20060228000745 NJ Practitioner - Family Practice 8325054315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Family Care LLCGroup PAC ID 7719175959, 2 clinicians

Practice addresses (Care Compare)

2482 Pennington Rd
Suite 101
Pennington, NJ 08534-5279
Phone (609) 620-1380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07293600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Family Care LLC Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Emergency Physician Associates of South Jersey P C Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Federal City Rd
Bldg A
Lawrenceville, NJ 08648
Phone (609) 620-1380

2482 Pennington Rd
Pennington, NJ 08534

2482 Pennington Rd
Ste 101
Pennington, NJ 08534
Phone (609) 620-1380

100 Federal City Rd
Trenton, NJ 08648
Phone (609) 303-5163

Interoperability endpoints

  • Direct secure messaging: pfc@princetonfamilycare.amazing-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1861440281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD",
            "address_2": "BLDG. A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-620-1380",
            "fax_number": "609-771-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD",
            "address_2": "BLDG. A",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-620-1380",
            "fax_number": "609-771-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "NASIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07293600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8587604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.