NPIMap

Individual provider Active NPI

Shaddy Younan, MD

  • Cardiovascular Disease Physician
  • Parlin, NJ
National Provider Identifier
1881665693
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA72961 Issued in NJ
Practice address
1145 Bordentown Ave
Suite # 10
Parlin, NJ 08859
Phone
(732) 727-0400
Fax
(732) 727-1391
NPI assigned
Jan 30, 2006
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA72961 NJ Primary

Addresses

Primary practice location

1145 Bordentown Ave
Suite # 10
Parlin, NJ 08859

Mailing address

1145 Bordentown Ave
Suite # 10
Parlin, NJ 08859
Phone (732) 727-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031218000449 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Surgery 6507763349 Reassigns benefits to 5 organizations
I20241113000576 PA Practitioner - Cardiovascular Disease (Cardiology) 6507763349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians
The Younan Group PAGroup PAC ID 9436537909, 7 clinicians
RB Cardiology Reading Associates LLCGroup PAC ID 7113062746, 8 clinicians
Wayne Memorial HospitalGroup PAC ID 4082522149, 52 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 324-5073

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 530-2528

1145 Bordentown Ave
Parlin, NJ 08859-1851
Phone (732) 727-0400

1945 Route 33
Neptune, NJ 07754-4859

30 Prospect Ave
Hackensack, NJ 07601-1915

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 324-5146

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8101

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 714-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72961NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Younan Group PA CurrentSince May 26, 2022 Accepting new patients
Wayne Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Jan 29, 2011 Accepting new patients
Wayne Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Meridian Medical Group - Specialty Care, PC PastSince Apr 6, 2021 Accepting new patients

Locations

717 N Beers St
Holmdel, NJ 07733
Phone (732) 264-2440

717 N Beers St
Ste 2E
Holmdel, NJ 07733
Phone (732) 888-1115

1145 Bordentown Ave
Parlin, NJ 08859
Phone (732) 727-0400

1145 Bordentown Ave
Ste 10
Parlin, NJ 08859
Phone (732) 727-0400

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

Interoperability endpoints

  • Direct secure messaging: shaddy.younan.1@30200.direct.athenahealth.com

Organizations & group practices 8

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 9

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1881665693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BORDENTOWN AVE",
            "address_2": "SUITE # 10",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "08859",
            "telephone_number": "732-727-5376",
            "fax_number": "732-727-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BORDENTOWN AVE",
            "address_2": "SUITE # 10",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "08859",
            "telephone_number": "732-727-0400",
            "fax_number": "732-727-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNAN",
        "first_name": "SHADDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA72961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

Verify at the official NPI Registry.