Morteza Shahamat Internal Medicine
400 Franklin Tpke, Suite 104, 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, Suite 104, Mahwah, NJ 07430-3517. The zip code is 07430.


Morteza Shahamat · 400 Franklin Tpke, Suite 104, 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
SUITE 104
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
Jerry Silver 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
Stephan Dorkhom 234 Hamburg Tpke, Wayne, NJ 07470-2149 HEMATOLOGY/ONCOLOGY
Frederic Wien 30 W Century Rd, Paramus, NJ 07652-1435 INTERNAL MEDICINE
Henry Slomowitz 14 -01 Broadway, Fair Lawn, NJ 07410-2008 PODIATRY
Asmat Quraishi 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
Orrin Davis 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 OTOLARYNGOLOGY
Dov Gorshein 234 Hamburg Tpke, Wayne, NJ 07470-2149 RADIATION ONCOLOGY
Vasiliki Saitas 14 -01 Broadway, Fair Lawn, NJ 07410-2008 PATHOLOGY
Andranik Howhannesian 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 UROLOGY
Samuel Chen 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 UROLOGY
Henry Baquiran 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 GENERAL PRACTICE
Joel Lehrer 14 -01 Broadway, Fair Lawn, NJ 07410-2008 OTOLARYNGOLOGY
Joseph Garcia 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 GENERAL SURGERY
Raffi Agopian 14 -01 Broadway, Fair Lawn, NJ 07410-2008 GENERAL SURGERY
David Nitti 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 INTERNAL MEDICINE
Jason Shatkin 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 PULMONARY DISEASE
Joel Nizin 85 Harristown, Glen Rock, NJ 07452-3307 COLORECTAL SURGERY (PROCTOLOGY)
Stephen Zoretic 15 -01 Broadway Rt 4, Fairlawn, NJ 07410-6006 UROLOGY
Jay Basillote 2071 Clove Rd J, Staten Island, NY 10304-1612 UROLOGY
Emanuel Haber 15-01 Broadway Route 4 W, Fairlawn, NJ 07410-6006 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
Jeffrey Lee 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Evan Gaines 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Elaine Alicakos 400 Franklin Tpke, Mahwah, NJ 07430-3519 PODIATRY
Sunandan Pandya 10 Franklin Turnpike, Mahwah, NJ 07430 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Colette Lieber 400 Franklin Turnpike, Mahwah, NJ 07430-3519 DERMATOLOGY
Evan Queler 400 Franklin Tpke, Mahwah, NJ 07430-3516 PHYSICAL MEDICINE AND REHABILITATION
Joseph Bednar 180 Franklin Tpke, Mahwah, NJ 07430-1306 CHIROPRACTIC
William Thomson 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Ashley Storms 10 Franklin Turnpike, Mahwah, NJ 07430 NURSE PRACTITIONER
Bryan Sheldon 400 Franklin Tpke, Mahwah, NJ 07430-3518 PHYSICIAN ASSISTANT
Barry Schoenberg 400 Franklin Tpke, Mahwah, NJ 07430-3516 PODIATRY
Patrick Murray 400 Franklin Tpke, Mahwah, NJ 07430-3516 ORTHOPEDIC SURGERY
Peter Cuviello 1019 Macarthur Blvd, Mahwah, NJ 07430-3612 PHYSICAL THERAPY
Ganepola Ganepola 400 Franklin Tpke, Mahwah, NJ 07430-3516 GENERAL SURGERY
Dean Miller 10 Franklin Turnpike, Mahwah, NJ 07430 INTERNAL MEDICINE
Patrick Clancy 400 Franklin Tpke, Mahwah, NJ 07430-3516 OPHTHALMOLOGY
Sheldon Levine 400 Franklin Tpke, Mahwah, NJ 07430-3516 ALLERGY/IMMUNOLOGY
Virginia Deguzman 688 Wyckoff Ave, Mahwah, NJ 07430-3033 FAMILY PRACTICE
Samuel Snyder 400 Franklin Tpke, Mahwah, NJ 07430-3518 ORTHOPEDIC SURGERY
Maia Rahill 467 Mahogany Ct, Mahwah, NJ 07430-2759 CLINICAL SOCIAL WORKER