Morteza Shahamat (NPI# 1154429959, PAC ID# 5395780241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154429959 |
| PAC ID by PECOS | 5395780241 |
| Professional Enrollment ID | I20050622000427 |
| Full Name | Morteza Shahamat |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Address |
400 Franklin Tpke Suite 104 Mahwah NJ 07430-3517 |
| Phone Number | 2019951005 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456535392 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 Franklin Tpke, Suite 104, Mahwah, NJ 07430-3517 | 2019951005 | SOVEREIGN MEDICAL GROUP LLC |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Bellapianta | Otolaryngology | Sovereign Medical Group LLC | 85 Harristown, Suite 105, Glen Rock, NJ 07452-3307 |
| Raffaella L Kalishman | Internal Medicine | Sovereign Medical Group LLC | 85 Harristown Rd, Suite 104, Glen Rock, NJ 07452-3323 |
| Elliot L Shulman | Urology | Sovereign Medical Group LLC | 807 Kennedy Blvd, Suite A, Bayonne, NJ 07002-2983 |
| Albert O Kwon | Colorectal Surgery (proctology) | Sovereign Medical Group LLC | 15-01 Broadway Route 4 W, Suite 1, Fairlawn, NJ 07410-6006 |
| Andranik Howhannesian | Urology | Sovereign Medical Group LLC | 14 -01 Broadway, Suite 3, Fair Lawn, NJ 07410-2008 |
| Jerry Silver | Otolaryngology | Sovereign Medical Group LLC | 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 |
| Joel Abramowitz | Urology | Sovereign Medical Group LLC | 8100 Kennedy Blvd, North Bergen, NJ 07047-4254 |
| Richard Maggio | Urology | Sovereign Medical Group LLC | 2071 Clove Rd J, Staten Island, NY 10304-1612 |
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Jay M Kashkin | Pediatric Medicine | Sovereign Medical Group LLC | 23-00 Route 208, Suite 2 1, Fair Lawn, NJ 07410-1558 |
| Street Address |
400 FRANKLIN TPKE SUITE 104 |
| City | MAHWAH |
| State | NJ |
| Zip | 07430-3517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodion Erenburg | Physical Medicine and Rehabilitation | Northeast Orthopedics and Sports Medicine Pllc | 400 Franklin Tpke, Mahwah, NJ 07430-3516 |
| Sheldon E Levine | Allergy/immunology | 400 Franklin Tpke, Suite 210, Mahwah, NJ 07430-3516 | |
| Michael Scrimenti | Neurology | 400 Franklin Tpke, Suite 214, Mahwah, NJ 07430-3519 | |
| Neal H Shuren | Hand Surgery | Northeast Orthopedics and Sports Medicine Pllc | 400 Franklin Tpke, Mahwah, NJ 07430-3516 |
| Mary Bello | Family Medicine | 400 Franklin Tpke, Suite 106, Mahwah, NJ 07430-3517 | |
| Indu Sharma | Hematology/oncology | Cardiology and Oncology Assoc., P.a. | 400 Franklin Tpke, Suite 102, Mahwah, NJ 07430-3517 |
| Song Woo Seo | Podiatry | Comprehensive Family Foot Care, Pa. | 400 Franklin Tpke, Suite 202, Mahwah, NJ 07430-3519 |
| Ganepola A Ganepola | General Surgery | 400 Franklin Tpke, Suite 110, Mahwah, NJ 07430-3516 | |
| Ashok K Sharma | Cardiovascular Disease (cardiology) | Cardiology and Oncology Assoc., P.a. | 400 Franklin Tpke, Suite 102, Mahwah, NJ 07430-3517 |
| Samuel J Snyder | Orthopedic Surgery | Garden State Orthopaedic Associates, P.a | 400 Franklin Tpke, Suite 112, Mahwah, NJ 07430-3518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanju Varghese | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Ashley A Storms | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Jesvin Mathew | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Nimfa Gabriana | Family Medicine | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Shital Parikh | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Michele Musacchio Acito | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Andrew Fruhschien | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Kathleen Vander Ploeg | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Richard John Palazzo | Chiropractic | 65 Ramapo Valley Rd, Suite 104, Mahwah, NJ 07430-1188 | |
| Jocelyn Lieb | Dermatology | 156 Ramapo Valley Rd, Mahwah, NJ 07430-1199 | |
| Find all physicians in zip 07430 | |||
| City | MAHWAH |
| Zip Code | 07430 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MAHWAH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Morteza Shahamat.
| 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.