SHAHJAHAN NISAR CHAUDHRY (NPI# 1285736850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285736850 |
| Entity Type | Individual |
| Full Name | SHAHJAHAN NISAR CHAUDHRY |
| Credential | M.D. |
| Practice Address |
175 Madison Ave Mount Holly NJ 08060 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 6099146000 |
| Practice Fax Number | 6099146182 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
25MA10551400 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14131 Midway Rd, Suite 620, Addison, TX 750013623 | 9722490200 | 9722490206 |
| 90 Brick Rd Fl 3, Marlton, NJ 080532177 | 8563556000 | 8563556731 |
| 100 Bowman Dr Lowr Level1, Voorhees, NJ 080439612 | 8562473000 | 8562472597 |
| Street Address |
175 MADISON AVE |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125016 | Virtua Memorial Hospital of Burlington County, Inc. | General Acute Care Hospital | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2005-06-24 |
| 1912545294 | Stephanie Waldron | Hospitalist | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2019-12-17 |
| 1922643394 | Lillian Lau | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-11-09 |
| 1407403728 | Osvaldo Martinez | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-21 |
| 1386290989 | Zyril Carilo | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-11 |
| 1013577345 | Amanda Stevenson | Dietitian, Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-06-18 |
| 1245708742 | Nicholas Belevich | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-11-02 |
| 1922587401 | Caralynn Marie Arena | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2018-08-07 |
| 1154826634 | Mending Hands Surgical Assisting, LLC | Registered Nurse | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-03-27 |
| 1881104917 | Sasha Johnson | Nurse Practitioner | 175 Madison Ave, Mount Holly, NJ 08060 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.