Shazia Mukaddam (NPI# 1356429625, PAC ID# 7911907993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356429625 |
| PAC ID by PECOS | 7911907993 |
| Professional Enrollment ID | I20061226000139 |
| Full Name | Shazia Mukaddam |
| Organization Legal Name | TRINITAS PHYSICIANS PRACTICE LLC |
| Address |
225 Williamson St Elizabeth NJ 07202-3625 |
| Phone Number | 9089948448 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709002850 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310027 | TRINITAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 225 Williamson St, Elizabeth, NJ 07202-3625 | 9089948448 | TRINITAS PHYSICIANS PRACTICE LLC |
| 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3671 | 9089945417 | TRINITAS PHYSICIANS PRACTICE LLC |
| Organization Legal Name | TRINITAS PHYSICIANS PRACTICE LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack F Perrone | Obstetrics/gynecology | Trinitas Physicians Practice LLC | 240 Williamson St, Suite 304, Elizabeth, PA 07202 |
| Barry S Levinson | Hematology | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Lloyd Antoine Webster Jr. | Internal Medicine | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Richard W Tai | Obstetrics/gynecology | Trinitas Physicians Practice LLC | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3671 |
| Gerardo Capo | Hematology/oncology | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Umer Farooq Ahmad | Internal Medicine | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Shrutie Malik | Internal Medicine | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Sergio L Baerga | General Surgery | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Adriana I Suarez-ligon | Surgical Oncology | Trinitas Physicians Practice LLC | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3671 |
| Arthur E Millman | Cardiovascular Disease (cardiology) | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Street Address |
225 WILLIAMSON ST |
| City | ELIZABETH |
| State | NJ |
| Zip | 07202-3625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepti Sameer Utrankar | Anesthesiology | Trinitas Anesthesia Associates, LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Barry S Levinson | Hematology | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Steven E Carvalho | Anesthesiology | Trinitas Anesthesia Associates, LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Ankita Bassi | Emergency Medicine | Nes Georgia Inc | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Jeffrey Sklar | Anesthesiology | Trinitas Anesthesia Associates, LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| William W Kessler | Hematology/oncology | 225 Williamson St, Elizabeth, NJ 07202-3625 | |
| Lloyd Antoine Webster Jr. | Internal Medicine | Trinitas Physicians Practice LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Christopher A Rambaran | Nurse Practitioner | Nes Georgia Inc | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| William Farrer | Infectious Disease | Union County Infectious Diseases Group | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Leon Pirak | Anesthesiology | Trinitas Anesthesia Associates, LLC | 225 Williamson St, Elizabeth, NJ 07202-3625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack F Perrone | Obstetrics/gynecology | Trinitas Physicians Practice LLC | 240 Williamson St, Suite 304, Elizabeth, PA 07202 |
| Mark R Preston | Obstetrics/gynecology | Trinitas Physicians Practice LLC | 240 Williamson St, Suite 304, Elizabeth, PA 07202 |
| Matthew G Cholankeril | Cardiovascular Disease (cardiology) | Cholankeril Medical Associates Md LLC | 100 Grove St, Elizabeth, NJ 07202-1111 |
| Charlene Sun Tseng | Optometry | Klein and Scannapiego, Md., Pa | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1352 |
| Victor Pareja | Neurology | 230 W Jersey St, Suite 304, Elizabeth, NJ 07202-1352 | |
| Renu Shah | Optometry | Klein and Scannapiego, Md., Pa | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1352 |
| Manuel J Matos | Oral Surgery | 230 W Jersey St, Suite 302, Elizabeth, NJ 07202-1352 | |
| Edwin R Roman | Podiatry | 230 W Jersey St, Suite 108, Elizabeth, NJ 07202-1352 | |
| Ravi Naik | Anesthesiology | 230 W Jersey St, Suite 306, Elizabeth, NJ 07202-1352 | |
| Mark M Gordon | Optometry | Klein and Scannapiego, Md., Pa | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1352 |
| Find all physicians in zip 07202 | |||
| City | ELIZABETH |
| Zip Code | 07202 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ELIZABETH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shazia Mukaddam.
| 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.