Provider Demographics
NPI:1730291840
Name:CHRISTOPHER M. SHAARI, M.D., P.C.
Entity Type:Organization
Organization Name:CHRISTOPHER M. SHAARI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHAARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-342-8060
Mailing Address - Street 1:20 PROSPECT AVENUE
Mailing Address - Street 2:SUITE 712
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-342-8060
Mailing Address - Fax:201-546-1536
Practice Address - Street 1:20 PROSPECT AVENUE
Practice Address - Street 2:SUITE 712
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-342-8060
Practice Address - Fax:201-546-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO65250207Y00000X
NY189560207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ070082Medicare PIN