MEDICARE: DR. JOSEPH GEORGE SHAMI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	25MA03848700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144259649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GEORGE SHAMI MD

Provider Business Mailing Address
First Line	:	1130 MCBRIDE AVE FL 3
Second Line	:
City	:	WOODLAND PARK
State	:	NJ
Zip	:	07424-3806
Country	:	US
Telephone Number	:	973-812-1400
Fax Number	:	973-812-1404

Provider Business Practice Location Address
First Line	:	468 PARISH DR STE 6
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-4671
Country	:	US
Telephone Number	:	973-988-2100
Fax Number	:	973-952-6248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	04/23/2026

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