SHAM LLC (NPI# 1790055093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055093 |
| Entity Type | Organization |
| Organization Name | SHAM LLC |
| Practice Address |
1300 Main Ave Suite 2a Clifton NJ 07011-2266 |
| Practice Telephone | 9737728878 |
| Practice Fax Number | 9737728803 |
| Mailing Telephone | 9737728878 |
| Mailing Fax Number | 9737728803 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | DR. SOUHEIL SABA (OWNER) |
| Authorized Official Telephone | 9737728878 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25MA06530700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1300 MAIN AVE SUITE 2A |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07011-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666257 | Hisham H Gadalla | Pediatrics | 1300 Main Ave, Clifton, NJ 07011-2266 | 2005-08-18 |
| 1912440967 | Healthy Happy Children Medical Serv | Pediatrics | 1300 Main Ave, Suite 2c, Clifton, NJ 07011-2266 | 2016-11-23 |
| 1629499314 | Nj Independent Internal Medicine | Clinic/Center | 1300 Main Ave, 2a, Clifton, NJ 07011-2266 | 2013-12-23 |
| 1952739518 | Lori Jackson-bogle | Physician Assistant | 1300 Main Ave, 2c, Clifton, NJ 07011-2266 | 2013-10-17 |
| 1245663277 | Nj Independent Internal Medicine, PC | Internal Medicine | 1300 Main Ave, Suite 2a, Clifton, NJ 07011-2266 | 2013-08-13 |
| 1750675328 | Complete Medical Associates, LLC | Family Medicine | 1300 Main Ave, Suite 2d, Clifton, NJ 07011-2266 | 2011-06-01 |
| 1669778791 | Cardiomed | Specialist | 1300 Main Ave, Suite D, Clifton, NJ 07011-2266 | 2011-02-08 |
| 1164655486 | Cristin Ashley Famularo | Nurse Practitioner | 1300 Main Ave, Suite 2c, Clifton, NJ 07011-2266 | 2009-09-02 |
| 1154571222 | Fayrouz Pediatric LLC | Pediatrics | 1300 Main Ave, Suite 2c, Clifton, NJ 07011-2266 | 2008-09-25 |
| 1982864294 | Family Health First P.a. | Specialist | 1300 Main Ave, Suite 2d, Clifton, NJ 07011-2266 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
| 1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
| 1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
| 1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
| 1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
| 1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
| Find all providers in zip 07011 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679038962 | Nj Premier Women Health LLC | Obstetrics & Gynecology | 1300 Main Ave Ste 3c, Clifton, NJ 07011-2266 | 2019-01-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1700333655 | Jsmith Md PC | Obstetrics & Gynecology | 1033 Route 46 Ste 102, Clifton, NJ 07013-2448 | 2016-09-08 |
| 1225128952 | Jared M. Sullivan | Obstetrics & Gynecology | 1117 Us Highway 46 Ste 202, Clifton, NJ 07013-2450 | 2006-10-13 |
| 1356358709 | Vinay R Shah | Obstetrics & Gynecology | 985 Paulison Ave, Clifton, NJ 07011-3629 | 2006-08-01 |
| 1750329538 | Charles George Haddad | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2006-06-03 |
| 1295772168 | Henry H Balzani | Obstetrics & Gynecology | 1117 Route 46 East Clifton, Suite 204, Clifton, NJ 07013-2449 | 2006-06-01 |
| 1326093204 | Edward F Kugler | Obstetrics & Gynecology | 716 Broad St, Clifton, NJ 07013-1645 | 2006-05-22 |
| 1548254428 | Peter A Tah | Obstetrics & Gynecology | 930 Clifton Ave, Clifton, NJ 07013-2723 | 2005-09-07 |
| 1730609066 | Edward Kugler Md LLC | Obstetrics & Gynecology | 1135 Broad Street, #205, Clifton, NJ 07013 | 2017-06-27 |
| Find all providers in CLIFTON | ||||
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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.