JOHN HAN SHAO (NPI# 1336302199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336302199 |
Entity Type | Individual |
Full Name | JOHN HAN SHAO |
Credential | MD |
Practice Address |
96 Millburn Ave Suite 200b Millburn NJ 07041-1944 |
Mailing Address |
329 Belleville Ave Bloomfield NJ 07003-3600 |
Practice Telephone | 9737622782 |
Practice Fax Number | 9737621946 |
Mailing Telephone | 9737483800 |
Mailing Fax Number | 9737483540 |
Enumeration Date | 2008-07-02 |
Last Update Date | 2013-05-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA08417900 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | STATE LISENCE | 25MA08417900 | 01 |
Street Address |
96 MILLBURN AVE SUITE 200B |
City | MILLBURN |
State | NJ |
Zip Code | 07041-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265439277 | Daniel Houshmand | Chiropractor | 96 Millburn Ave, Suite #101, Millburn, NJ 07041-1944 | 2005-07-05 |
1235542374 | Guinevere Aquino | Nurse Practitioner | 96 Millburn Ave, Millburn, NJ 07041-1944 | 2014-06-06 |
1972804821 | Specialist In Thoracic Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 96 Millburn Ave, Ste200a, Millburn, NJ 07041-1944 | 2010-11-09 |
1477739290 | Patrawalla M.d. P.a. | Clinic/Center | 96 Millburn Ave, Ste 203, Millburn, NJ 07041-1944 | 2008-01-10 |
1578614855 | Alternacare Wellness Center, LLC | Chiropractor | 96 Millburn Ave, Suite #101, Millburn, NJ 07041-1944 | 2007-01-15 |
1871641340 | Vincent Tavormina | Dentist | 96 Millburn Ave, Millburn, NJ 07041-1944 | 2007-01-08 |
1972691814 | Peter Robert Weiner | Internal Medicine | 96 Millburn Ave, Suite 200a, Millburn, NJ 07041-1944 | 2006-10-10 |
1780779512 | Comprehensive Pulmonary and Critical Care PC | Internal Medicine | 96 Millburn Ave, Suite 200a, Millburn, NJ 07041-1944 | 2006-10-04 |
1578666764 | Himanshu Panalal Shah | Internal Medicine | 96 Millburn Ave, Suite 200a, Millburn, NJ 07041-1944 | 2006-09-06 |
1790705820 | Chirag A Mehta | Internal Medicine | 96 Millburn Ave, Suite 200a, Millburn, NJ 07041-1944 | 2006-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1336474188 | Donald P. Peyser, M.d. P.a. | Internal Medicine | 225 Millburn Ave, Suite 104-a, Millburn, NJ 07041-1737 | 2009-10-13 |
1265664205 | Qaisra Saeed, L.L.C. | Internal Medicine | 116 Millburn Avenue, Suite 214, Millburn, NJ 07041-1919 | 2009-08-10 |
1144338641 | Rajendra Desai | Internal Medicine | 116 Millburn Ave, Suite 213, Millburn, NJ 07041-1943 | 2006-08-26 |
1891736039 | Robert H Charney | Internal Medicine | 161 Millburn Ave, Millburn, NJ 07041-1825 | 2006-06-09 |
1407829955 | Qaisra Yasmin Saeed | Internal Medicine | 116 Millburn Ave, Suite 214, Millburn, NJ 07041-1919 | 2006-02-07 |
1336141290 | Donald P. Peyser | Internal Medicine | 225 Millburn Ave, Suite 104-a, Millburn, NJ 07041-1737 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
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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.