NPIMap

Individual provider Active NPI

Omar Shahateet, M.D.

  • Nephrology Physician
  • Ventnor City, NJ
National Provider Identifier
1922379957
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09837500 Issued in NJ
Practice address
6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406-2166
Phone
(843) 792-6200
NPI assigned
Jan 23, 2012
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA09837500 NJ Primary

Addresses

Primary practice location

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406-2166

Mailing address

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406-2166
Phone (843) 792-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000291 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3870749609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians

Practice addresses (Care Compare)

6725 Ventnor Ave
Suite C
Ventnor City, NJ 08406-2166
Phone (609) 350-6780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09837500NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Mar 20, 2023 Accepting new patients
Specialty Medconsultants LLC Nephrology CurrentSince Jul 1, 2016 Accepting new patients

Locations

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

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

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

Organizations & group practices 2

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 7

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1922379957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "address_2": "STE C",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "address_2": "STE C",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "843-792-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHATEET",
        "first_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09837500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.