Morteza Shahamat Internal Medicine
400 Franklin Tpke, Mahwah, NJ 07430-3517


Morteza Shahamat is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1154429959. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5395780241. The medical credential is MD. The primary specialty is INTERNAL MEDICINE. The organization is SOVEREIGN MEDICAL GROUP LLC. The address is 400 Franklin Tpke, Mahwah, NJ 07430-3517. The zip code is 07430.


Morteza Shahamat · 400 Franklin Tpke, Mahwah, NJ 07430-3517

Nation Provider ID 1154429959
PAC ID by PECOS 5395780241
Professional Enrollment ID I20050622000427
Last Name SHAHAMAT
First Name MORTEZA
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1970
Primary Specialty INTERNAL MEDICINE
Primary Specialty SOVEREIGN MEDICAL GROUP LLC
Phone Number 2019951005
Group Practice PAC ID 1456535392
Number of Group Practice Members 61
Address 400 FRANKLIN TPKE
MAHWAH, NJ 074303517
Claims Based Hospital Affiliation Claim Control Number (CCN): 310012
Legal Business Name: VALLEY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 310001
Legal Business Name: HACKENSACK UNIVERSITY MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Sovereign Medical Group LLC · Medicare Physician

Name Address Specialty
Deepan Patel 630 Broad St, Carlstadt, NJ 07072-1169 ORTHOPEDIC SURGERY
Sam Hessami 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 OBSTETRICS/GYNECOLOGY
Andrew Freedman 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 PULMONARY DISEASE
Frederic Wien 30 W Century Rd, Paramus, NJ 07652-1435 INTERNAL MEDICINE
Elliot Steigman 14 -01 Broadway, Fair Lawn, NJ 07410-2008 UROLOGY
Joel Abramowitz 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 UROLOGY
Kenneth Blank 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 RADIATION ONCOLOGY
Henry Slomowitz 14 -01 Broadway, Fair Lawn, NJ 07410-2008 PODIATRY
Nina Safa 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Emanuel Haber 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 PODIATRY
Morris Tilson 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Gopal Desai 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 RADIATION ONCOLOGY
David Nitti 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Dov Gorshein 234 Hamburg Tpke, Wayne, NJ 07470-2149 RADIATION ONCOLOGY
Laurence Milgrim 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
David Chang 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 UROLOGY
Igor Dmytrienko 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Alan Shaiman 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 RADIATION ONCOLOGY
Michael Gross 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 RHEUMATOLOGY
Glenn Gmyrek 14 -01 Broadway, Fair Lawn, NJ 07410-2008 UROLOGY

Zip 07430 · Internal Medicine · Medicare Physician

Name Address Specialty
Dean Miller 10 Franklin Turnpike, Mahwah, NJ 07430 INTERNAL MEDICINE

Zip 07430 · Medicare Physician

Name Address Specialty
Mary Bello 400 Franklin Tpke, Mahwah, NJ 07430-3517 FAMILY PRACTICE
Evan Gaines 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Virginia Deguzman 688 Wyckoff Ave, Mahwah, NJ 07430-3033 FAMILY PRACTICE
Elaine Alicakos 400 Franklin Tpke, Mahwah, NJ 07430-3519 PODIATRY
John Andronaco 9 Trellis Court, Mahwah, NJ 07430-2283 ORTHOPEDIC SURGERY
Nicholas Alexander 400 Franklin Tpke, Mahwah, NJ 07430-3517 HAND SURGERY
Michael Scrimenti 400 Franklin Tpke, Mahwah, NJ 07430-3516 NEUROLOGY
Sheldon Levine 400 Franklin Tpke, Mahwah, NJ 07430-3516 ALLERGY/IMMUNOLOGY
Barry Schoenberg 400 Franklin Tpke, Mahwah, NJ 07430-3516 PODIATRY
Jesvin Mathew 10 Franklin Turnpike, Mahwah, NJ 07430 NURSE PRACTITIONER
Samuel Snyder 400 Franklin Tpke, Mahwah, NJ 07430-3518 ORTHOPEDIC SURGERY
Thomas Facelle 10 Franklin Turnpike, Mahwah, NJ 07430 GENERAL SURGERY
Ryan Breznovits 300 State Rt, Mahwah, NJ 07430-2141 PHYSICAL THERAPY
Dean Miller 10 Franklin Turnpike, Mahwah, NJ 07430 INTERNAL MEDICINE
Perminder Grewal 10 Franklin Turnpike, Mahwah, NJ 07430 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Bryan Sheldon 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Rachael Tolentino 300 State Rt, Mahwah, NJ 07430-2141 PHYSICAL THERAPY
Ashley Storms 10 Franklin Turnpike, Mahwah, NJ 07430 NURSE PRACTITIONER
William Thomson 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Steven Beenstock 10 Franklin Turnpike, Mahwah, NJ 07430 FAMILY PRACTICE