Individual provider Active NPI

Hussein Abdo Shaqra, MD

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1922031574
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
002573 Issued in NY
Practice address
539 Clifton Ave
Clifton, NJ 07011-3264
Phone
(718) 938-1843
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 002573 NY Primary

Addresses

Primary practice location

539 Clifton Ave
Clifton, NJ 07011-3264

Mailing address

222 Light House Ter
Edgewater, NJ 07020-1160

Other identifiers 1

IdentifierTypeStateIssuer
02792845MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060923000016 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052316130 Reassigns benefits to 1 organization
I20120424000115 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052316130 Reassigns benefits to 2 organizations
Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

539 Clifton Ave
Clifton, NJ 07011-3264
Phone (973) 246-4445

Hospital & facility affiliations

  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Merit-based Incentive Payment System (MIPS)

Final score
20.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting162
Pacemaker insertion or repair11
Leg revascularization (restoring blood flow)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002573NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hiba & Abdo LLC Cardiovascular Disease CurrentSince Dec 7, 2024 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Nov 26, 2012 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients
Rodolfo a Munera PastSince Dec 10, 2023 Accepting new patients

Locations

539 Clifton Ave
Clifton, NJ 07011
Phone (973) 246-4445

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: hshaqra21204@sbhny.direct-ci.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1922031574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LIGHT HOUSE TER",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113264",
            "telephone_number": "718-938-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAQRA",
        "first_name": "HUSSEIN",
        "middle_name": "ABDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "002573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02792845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.