Individual provider Active NPI

Nasseredin Shariati, MD

  • Infectious Disease Physician
  • Bedminster, NJ
National Provider Identifier
1861486623
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA04430000 Issued in NJ
Practice address
2345 Lamington Rd
Suite 103
Bedminster, NJ 07921-2612
Phone
(908) 234-2295
Fax
(908) 234-0579
NPI assigned
Sep 8, 2005
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA04430000 NJ Primary

Addresses

Primary practice location

2345 Lamington Rd
Suite 103
Bedminster, NJ 07921-2612

Mailing address

2345 Lamington Rd
Suite 103
Bedminster, NJ 07921-2612
Phone (908) 234-2295

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
I20120327000083 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 4688834807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2345 Lamington Rd
Suite 103
Bedminster, NJ 07921-2612
Phone (908) 234-2295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04430000NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N.D. Shariati M.D. PC Infectious Disease CurrentSince Jan 8, 1990 Accepting new patients

Locations

2345 Lamington Rd
Ste 103
Bedminster, NJ 07921
Phone (201) 766-6351

Organizations & group practices 1

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1861486623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD",
            "address_2": "SUITE 103",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-234-2295",
            "fax_number": "908-234-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 LAMINGTON RD",
            "address_2": "SUITE 103",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212612",
            "telephone_number": "908-234-2295",
            "fax_number": "908-234-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIATI",
        "first_name": "NASSEREDIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA04430000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

Verify at the official NPI Registry.