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
Louis Petcu 14 -01 Broadway, Fair Lawn, NJ 07410-2008 OTOLARYNGOLOGY
Harry Katz 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
Michael Gross 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 RHEUMATOLOGY
Albert Kwon 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 COLORECTAL SURGERY (PROCTOLOGY)
Carole Gelfer 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 SPEECH LANGUAGE PATHOLOGIST
Stephen Zoretic 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 UROLOGY
Jason Shatkin 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 PULMONARY DISEASE
Robert Goodman 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
Gopal Desai 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 RADIATION ONCOLOGY
Alexander Haas 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 RADIATION ONCOLOGY
Carolyn Mudry 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Stephan Dorkhom 234 Hamburg Tpke, Wayne, NJ 07470-2149 HEMATOLOGY/ONCOLOGY
Joel Abramowitz 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 UROLOGY
Samuel Chen 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 UROLOGY
Andrew Freedman 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 PULMONARY DISEASE
Scott Goler 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 PODIATRY
Keith Christiansen 14 -01 Broadway, Fair Lawn, NJ 07410-2008 UROLOGY
Jerry Silver 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
Henry Slomowitz 14 -01 Broadway, Fair Lawn, NJ 07410-2008 PODIATRY

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
Virginia Deguzman 688 Wyckoff Ave, Mahwah, NJ 07430-3033 FAMILY PRACTICE
Jeffrey Lee 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Paul Balisi 195 Franklin Tpke, Mahwah, NJ 07430-1339 PHYSICAL THERAPY
Richard Popowitz 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Michael Scrimenti 400 Franklin Tpke, Mahwah, NJ 07430-3516 NEUROLOGY
Jesvin Mathew 10 Franklin Turnpike, Mahwah, NJ 07430 NURSE PRACTITIONER
Rachael Tolentino 300 State Rt, Mahwah, NJ 07430-2141 PHYSICAL THERAPY
Diane Suda 94 Konight Ct, Mahwah, NJ 07430-2959 CLINICAL SOCIAL WORKER
John Andronaco 9 Trellis Court, Mahwah, NJ 07430-2283 ORTHOPEDIC SURGERY
Patrick Murray 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Evan Queler 400 Franklin Tpke, Mahwah, NJ 07430-3516 PHYSICAL MEDICINE AND REHABILITATION
Brian Vangrouw 400 Franklin Tpke, Mahwah, NJ 07430-3518 ORTHOPEDIC SURGERY
Ganepola Ganepola 400 Franklin Tpke, Mahwah, NJ 07430-3516 GENERAL SURGERY
Long Bui Le 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Steven Beenstock 10 Franklin Turnpike, Mahwah, NJ 07430 FAMILY PRACTICE
Evan Gaines 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Elaine Alicakos 400 Franklin Tpke, Mahwah, NJ 07430-3519 PODIATRY
Barry Schoenberg 400 Franklin Tpke, Mahwah, NJ 07430-3516 PODIATRY
Ashley Storms 10 Franklin Turnpike, Mahwah, NJ 07430 NURSE PRACTITIONER
Sunandan Pandya 10 Franklin Turnpike, Mahwah, NJ 07430 CARDIOVASCULAR DISEASE (CARDIOLOGY)