Provider Demographics
NPI:1871630939
Name:SHAFEY, SAHAR M (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:M
Last Name:SHAFEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-0858
Mailing Address - Country:US
Mailing Address - Phone:732-696-8146
Mailing Address - Fax:732-493-2413
Practice Address - Street 1:155 MAIN ST
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3181
Practice Address - Country:US
Practice Address - Phone:732-696-8146
Practice Address - Fax:732-493-2413
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA057658002084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5362709Medicaid
NJ223258705OtherFEDERAL ID NUMBER
NJ199179OtherCOMPSYCH
NJ467719Medicare PIN