Individual provider Active NPI

Obaib Shoaib, M.D.

  • Vascular & Interventional Radiology Physician
  • Mineola, NY
National Provider Identifier
1972985687
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA11104600 Issued in NJ
Practice address
259 1St St
Mineola, NY 11501-3957
Phone
(516) 663-2381
Fax
(516) 663-8796
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11104600 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA11104600 NJ Primary

Addresses

Primary practice location

259 1St St
Mineola, NY 11501-3957

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210601001942 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2264778091 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

Practice addresses (Care Compare)

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (732) 390-0040

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

75 Veronica Ave
Somerset, NJ 08873-5002
Phone (732) 246-0060

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
90.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11104600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Flemington Radiology Associates, LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients

Locations

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

3 Progress St
Edison, NJ 08820
Phone (908) 753-0001

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

2128 State Route 35
Oakhurst, NJ 07755
Phone (732) 493-8444

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Organizations & group practices 7

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 10

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1972985687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-955-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-2381",
            "fax_number": "516-663-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOAIB",
        "first_name": "OBAIB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11104600",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA11104600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.