Bayshore Cardiology PC
Organization Active NPI Cardiovascular Disease Physician · Holmdel, NJ
NPI 1881748804 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1881748804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- BAYSHORE CARDIOLOGY PC
- Practice address
- Bayshore Medical Center
727 No Beers St
Holmdel, NJ 07733 - Phone
- (732) 739-5900
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Niranjan Shah, M.D.
- Title
- President
- Phone
- (732) 241-6847
Practitioners 17
-
Niranjan Shah, M.D.
-
K. George Younan, MD PA
-
Elie Younes, MD
-
Ziad Afif Abbud, MD
-
Mohamad Salim Ani, M.D.
-
Marcus Hanfling, DO
-
Adeyemi Iyanoye, M.D.
-
Parveen Uppal, MD
-
Shaddy Younan, MD
-
Soochung Kim, M.D.
-
Thomas J Molloy, MD
-
Chen-Pang Su, MD
-
Robert Lewis Douglas, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071011000632 | NJ | Part B Supplier - Clinic/Group Practice | 4486740065 |
Receives reassigned benefits from 10 practitioners Practice locations: Holmdel, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
Bayshore Medical Center
727 No Beers St
Holmdel, NJ 07733
Mailing address
P.O. Box 304
Holmdel, NJ 07733
Phone (732) 241-6847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7755309 | Medicaid | NJ |
Other providers in Holmdel, NJ
- Ganna Bartasheva
- Quinn Mariette Batcho
- Thomas Edward Baumlin Jr.
- Bay Shore Marriage and Family Consultants
- Bayshore Acupuncture & Traditional Medicine
- Bayshore Community Hospital
- Bayshore Community Hospital
- Bayshore Community Hospital
- Bayshore Emergency Medical Associates LLC
- Bayshore Health and Wellness LLC
All providers in Holmdel, NJ · Cardiovascular Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.