NPIMap

Organization Active NPI

Fayez Shamoon

  • Cardiovascular Disease Physician
  • Newark, NJ
National Provider Identifier
1891872412
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05551600 Issued in NJ
Legal business name
FAYEZ SHAMOON
Practice address
268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone
(973) 877-5160
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Fayez Shamoon, MDNPI 1528053477
Title
Owner
Phone
(973) 877-5160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05551600 NJ Primary

Addresses

Primary practice location

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Mailing address

PO Box 318
Cedar Grove, NJ 07009-0318
Phone (973) 877-5160

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1891872412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070090318",
            "telephone_number": "973-877-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYEZ SHAMOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "SHAMOON",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-877-5160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05551600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.