Individual provider Active NPI

Aiman K Shilad, M.D.

  • Obstetrics & Gynecology Physician
  • Paterson, NJ
National Provider Identifier
1992750715
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07788200 Issued in NJ
Practice address
680 Broadway
Ste 506 First Floor
Paterson, NJ 07514-1524
Phone
(973) 500-2399
Fax
(855) 302-5570
NPI assigned
May 23, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07788200 NJ Primary

Addresses

Primary practice location

680 Broadway
Ste 506 First Floor
Paterson, NJ 07514-1524

Mailing address

12-45 River Rd
Ste 117
Fair Lawn, NJ 07410-1812
Phone (973) 209-0322

Other identifiers 13

IdentifierTypeStateIssuer
1356533624OtherNJGRP NPI SURGAIDE 2, LLC
00010768801OtherNJAMERICHOICE MEDICAID HMO
00010768806OtherNJAMERICHOICE MEDICAID HMO
00010768800OtherNJAMERICHOICE MEDICAID HMO
1790731271OtherNJGRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE
1790910917OtherNJGRP NPI ADVANCED LAPAROSCOPY, LLC
191465OtherNJAMERIGROUP MEDICAID HMO
1942321070OtherNJGRP NPI SURGAIDE 1, LLC
00010768803OtherNJAMERICHOICE MEDICAID HMO
00010768802OtherNJAMERICHOICE MEDICAID HMO
00010768807OtherNJAMERICHOICE MEDICAID HMO
0091626MedicaidNJ
00010768805OtherNJAMERICHOICE MEDICAID HMO

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
I20050823000026 NJ Practitioner - Obstetrics/Gynecology 7517997448 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07788200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Oak Medical Group, LLC CurrentSince Apr 29, 2018 Accepting new patients
One Oak Medical Group, LLC CurrentSince Apr 29, 2018 Accepting new patients
Blue River Women's Health PA Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Comprehensive Womens Healthcare Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

109 Valley Rd
Montclair, NJ 07042
Phone (215) 439-2205

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

Interoperability endpoints

  • Direct secure messaging: ashilad190235@ahs.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1992750715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-45 RIVER RD",
            "address_2": "STE 117",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101812",
            "telephone_number": "973-209-0322",
            "fax_number": "888-215-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "STE 506 FIRST FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-500-2399",
            "fax_number": "855-302-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILAD",
        "first_name": "AIMAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07788200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI SURGAIDE 2, LLC",
            "identifier": "1356533624",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE",
            "identifier": "1790731271",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI ADVANCED LAPAROSCOPY, LLC",
            "identifier": "1790910917",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MEDICAID HMO",
            "identifier": "191465",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI SURGAIDE 1, LLC",
            "identifier": "1942321070",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768803",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768807",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091626",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID HMO",
            "identifier": "00010768805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.