Physician Compare National (NPI:1881665693)

HEALTHCARE PROVIDER: SHADDY YOUNAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881665693
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507763349
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031218000449
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUNAN
	Individual professional last name
Provider First Name	SHADDY
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1145 BORDENTOWN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	PARLIN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088591851
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310112
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYSHORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIVERVIEW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310073
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JERSEY SHORE UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310039
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	310108
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1881665693)

HEALTHCARE PROVIDER: SHADDY YOUNAN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information