Nader Shakibai


Address: 145 Prospect St, Ridgewood, NJ 07450-4493

Nader Shakibai (NPI# 1881685147, PAC ID# 1456320910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1881685147
PAC ID by PECOS 1456320910
Professional Enrollment ID I20040930000826
Full Name Nader Shakibai
Address 145 Prospect St
Ridgewood
NJ 07450-4493
Gender M
Credential MD
Medical School UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310012 VALLEY HOSPITAL
310058 NEW BRIDGE MEDICAL CENTER
310001 HACKENSACK UNIVERSITY MEDICAL CENTER
310008 HOLY NAME MEDICAL CENTER

Other Locations

Address Phone Organization
145 Prospect St, Ridgewood, NJ 07450-4493

Organization Information

Office Location

Street Address 145 PROSPECT ST
City RIDGEWOOD
State NJ
Zip 07450-4493

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Competitor

Search similar physicians

City RIDGEWOOD
Zip Code 07450
Specialty NEPHROLOGY
City + Specialty RIDGEWOOD + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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