Healthcare Provider Details

I. General information

NPI: 1730291840
Provider Name (Legal Business Name): CHRISTOPHER M. SHAARI, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVENUE SUITE 712
HACKENSACK NJ
07601
US

IV. Provider business mailing address

20 PROSPECT AVENUE SUITE 712
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-8060
  • Fax: 201-546-1536
Mailing address:
  • Phone: 201-342-8060
  • Fax: 201-546-1536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number189560
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMAO65250
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CHRISTOPHER M SHAARI
Title or Position: PRESIDENT
Credential: MD
Phone: 201-342-8060