SHAHIDA ABBAS MD LLC (NPI# 1407065337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407065337 |
| Entity Type | Organization |
| Organization Name | SHAHIDA ABBAS MD LLC |
| Practice Address |
1451 Route 88 Suite 12 Brick NJ 08724-2371 |
| Mailing Address |
1451 Route 88 Suite 12 Brick NJ 08724-2320 |
| Practice Telephone | 7328360500 |
| Practice Fax Number | 7328360502 |
| Mailing Telephone | 7328360500 |
| Mailing Fax Number | 7328360502 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | DR. SHAHIDA ABBAS (OWNER) |
| Authorized Official Telephone | 7328360500 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MAO64127 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7753306 | 05 |
| Street Address |
1451 ROUTE 88 SUITE 12 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643500 | Maureen B Jennings | Podiatrist | 1451 Route 88, Suite 8a, Brick, NJ 08724-2371 | 2005-07-19 |
| 1922217108 | Richard G. Fernicola, Md | Physical Medicine & Rehabilitation | 1451 Route 88, Suite 5, Brick, NJ 08724-2371 | 2007-05-22 |
| 1205967593 | Paul G Clauss | Physical Therapist | 1451 Route 88, Brick, NJ 08724-2371 | 2007-03-08 |
| 1295887743 | Integrated Rehabilitation | Chiropractor | 1451 Route 88, Suite 5, Brick, NJ 08724-2371 | 2007-01-17 |
| 1578614053 | Jeff Firsichbaum | Counselor | 1451 Route 88, Suite 4a, Brick, NJ 08724-2371 | 2007-01-13 |
| 1841348992 | Joann Devizio | Marriage & Family Therapist | 1451 Route 88, Suite 4a, Brick, NJ 08724-2371 | 2007-01-08 |
| 1437214020 | Judy Firsichbaum | Counselor | 1451 Route 88, 4a, Brick, NJ 08724-2371 | 2006-12-26 |
| 1487723615 | Richard G Fernicola | Rehabilitation Practitioner | 1451 Route 88, Suite 5, Brick, NJ 08724-2371 | 2006-11-06 |
| 1528148517 | Lisa Marlo Cohen | Chiropractor | 1451 Route 88, Suite 5, Brick, NJ 08724-2371 | 2006-10-16 |
| 1598845315 | Jayantilal C Patel | Internal Medicine | 1451 Route 88, Olympic Garden Suite 9, Brick, NJ 08724-2371 | 2006-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1124668629 | Rosa Ital, Md Inc | Internal Medicine | 1140 Burnt Tavern Rd Ste 2a, Brick, NJ 08724-1496 | 2020-01-13 |
| 1174816359 | Miguel E Arrospide | Internal Medicine | 2747 Hooper Ave Apt 5-2, Brick, NJ 08723-4127 | 2011-05-23 |
| 1053587998 | Jessica Bautista Seares | Internal Medicine | 35 Beaverson Blvd Bldg 7, Suite B, Brick, NJ 08723-7812 | 2008-05-01 |
| 1558430546 | T.a.e.l.l.c. | Internal Medicine | 450 University Ct, Brick, NJ 08723-6007 | 2006-11-06 |
| 1851307136 | Lily L Babayev | Internal Medicine | 34 Lanes Mill Rd, Brick, NJ 08724 | 2006-07-31 |
| 1982652038 | Hitesh Babubhai Patel | Internal Medicine | 1695 Highway 88 Ste A, Brick, NJ 08724-3029 | 2006-05-04 |
| 1780658476 | Victor J Salvo | Internal Medicine | 990 Cedarbridge Ave, Brick, NJ 08723-4159 | 2006-02-17 |
| 1558334458 | Krzysztof Boleslaw Lichnowski | Internal Medicine | 204 Jack Martin Blvd, C-3, Brick, NJ 08724-7770 | 2006-02-10 |
| 1588637748 | Leo E Galliguez | Internal Medicine | 525 Highway 70, Brick, NJ 08723-4022 | 2006-02-08 |
| 1831178235 | Rosa Ital | Internal Medicine | 1140 Burnt Tavern Rd, Brick, NJ 08724-1496 | 2006-01-13 |
| Find all providers in BRICK | ||||
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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.