Dr. Shiraz Ahmed Nisar
Internal Medicine

Address: 1895 Oak Tree Rd, Edison, NJ 08820-2122
Phone: 7325481833

Dr. Shiraz Ahmed Nisar (NPI# 1972764314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1972764314
Entity Type Individual
Full Name Dr. Shiraz Ahmed Nisar
Credential MD
Gender Male
Practice Address 1895 Oak Tree Rd
Edison
NJ 08820-2122
Practice Telephone 7325481833
Mailing Address 1895 Oak Tree Rd
Edison
NJ 08820-2122
Mailing Telephone 7325481833
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2008-06-18
Last Update Date 2009-02-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 25MA08423600 NJ

Other Provider Identifier

State Identifier Issuer Type Code
NJ 0174068 MEDICAID
NJ 3687856000 OTHER AMERIHEALTH

Physician Overview

NPI 1972764314
PAC ID by PECOS 9830266535
Professional Enrollment ID I20090406000337
Full Name Shiraz Nisar
Organization Legal Name COMMUNITY HOSPITALIST, LLC
Phone Number 4409604000
Gender M
Graduation Year 2002
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 5496648123
Number of Group Practice Members 82
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360172 MERCY REGIONAL MEDICAL CENTER
360359 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 0%

Office Location

Street Address 1895 OAK TREE RD
City EDISON
State NJ
Zip Code 08820-2122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356457725 M. Mohammed Nisar Md Pa Family Medicine 1895 Oak Tree Rd, Edison, NJ 08820-2122 2006-08-21
1124114343 Mohammed Nisar Specialist 1895 Oak Tree Rd, Edison, NJ 08820-2122 2006-10-05
1336235571 Noor Nisar Specialist 1895 Oak Tree Rd, Edison, NJ 08820-2122 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497237838 Pooja Kansagra Behavior Technician 3826 Park Ave Suite 102, Edison, NJ 08820 2018-09-01
1568941086 Thomas Dipaolo LLC Physical Therapist 3840 Park Ave # D108, Edison, NJ 08820 2018-08-07
1467939561 Aisha Musa Abdulkadir Student in an Organized Health Care Education/Training Program Jfk Family Practice, 65 James Street, Edison, NJ 08820 2018-07-23
1801380522 Edison Spine and Pain Management, P.C. Physical Medicine & Rehabilitation 1692 Oak Tree Road, Edison, NJ 08820 2018-06-16
1013400175 Bijal S Sheth Student in an Organized Health Care Education/Training Program 1135 Board Street, Suite 201, Clifton, NJ 08820 2018-06-12
1386136521 Chirag A Gandhi Physical Therapist 3830 Park Ave Ste 202, Edison, NJ 08820 2018-06-04
1356850671 Nj Allergy & Asthma Care LLC Clinic/Center 26 Parker Rd, Edison, NJ 08820 2017-09-29
1790226223 Julianna Marie Zilli Specialist/Technologist 24 Woodrow Wilson Dr, Edison, NJ 08820 2017-03-16
1497292445 Julie Jacob Nurse Practitioner 6 Cottonwood Ct, Edison, NJ 08820 2017-01-30
1235583766 Sapna Chatlani Behavior Analyst 2 Tennyson Street, Edison, NJ 08820 2016-04-21
Find all providers in zip 08820

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811486368 Thomas J Cassidy Md LLC Internal Medicine 3910 Park Ave Ste 8, Edison, NJ 08820-3062 2018-05-09
1093226813 Vincent Piperi Internal Medicine 1789 Lincoln Hwy # 142, Edison, NJ 08817-3483 2017-10-19
1972041143 Healthy Life Md., LLC Internal Medicine 3840 Park Ave Ste 103, Edison, NJ 08820-2563 2017-02-07
1659761948 Ketankumar Shah Internal Medicine 608 Cinder Rd, Edison, NJ 08820-3373 2015-01-26
1942638093 Jey Care LLC Internal Medicine 25 Sonia Ct, Edison, NJ 08820-4443 2013-10-29
1376983460 Wayne Greaves Internal Medicine 241 Fletcher St, Edison, NJ 08820-1765 2013-07-03
1225387905 Scott S. Chae M.d. G.i. Clinic, LLC Internal Medicine 2 State Route 27 Ste 107, Edison, NJ 08820-3976 2012-09-10
1205198850 Archana Joshi, LLC Internal Medicine 1856 Oak Tree Rd, Edison, NJ 08820-2704 2012-06-11
1568732527 Hao Zhang Internal Medicine 2 Ethel Rd Ste 203c, Edison, NJ 08817-2839 2012-01-09
1801190962 Hetal Mahendra Patel Internal Medicine 34 Simpson Ave, Edison, NJ 08817-4430 2011-01-04
Find all providers in EDISON

Competitor

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City EDISON
Zip Code 08820

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Dataset Information

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.

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