SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY
NPI 1063789170
Internal Medicine in Holmdel, NJ

Active since November 18, 2011CLIA 31D1055495 · Certificate of Compliance
668 N BEERS ST, SUITE 104, HOLMDEL, NJ 07733(732) 888-0017(732) 888-0097 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shamra Medical Laboratory Limited Liability Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY (NPI 1063789170) is a healthcare organization registered as an internal medicine in Holmdel, New Jersey and active in the NPI registry since November 2011. The organization holds a CLIA Certificate of Compliance certificate valid through January 31, 2028 and lists Ammar Bazerbashi, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1063789170
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY
Location Address668 N BEERS ST, SUITE 104Holmdel, NJ 07733-1526
Mailing Address668 N Beers St, Suite 104Holmdel, NJ 07733-1526 · (732) 888-0017 · Fax (732) 888-0097
Fax(732) 888-0097
Organization SubpartNo
Authorized OfficialAmmar BazerbashiMedical Doctor · (732) 888-0017
Enumeration DateNovember 18, 2011
NPI 1063789170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA072160000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
668 N BEERS ST, Holmdel, NJ 07733

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D1055495

Shamra Medical Laboratory, LLC · Middletown, NJ
Active · expires Jan 31, 2028
CLIA Number31D1055495
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorDr. Ammar Bazerbashi
Laboratory Phone(732) 888-0017
Laboratory LocationShamra Medical Laboratory, LLC950 State Route 35, Middletown, NJ 07748
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
668 N BEERS ST, SUITE 202
HOLMDEL, NJ 07733
Internal Medicine (Medical Oncology)
668 N BEERS ST, SUITE 104
HOLMDEL, NJ 07733
Surgery
668 N BEERS ST, SUITE 103
HOLMDEL, NJ 07733
Dentist (General Practice)
668 N BEERS ST
HOLMDEL, NJ 07733
Physician Assistant
668 N BEERS ST
HOLMDEL, NJ 07733
Internal Medicine (Gastroenterology)
668 N BEERS ST
HOLMDEL, NJ 07733
Clinic/Center (Sleep Disorder Diagnostic)
668 N BEERS ST
HOLMDEL, NJ 07733
Psychiatry & Neurology (Neurology)
668 N BEERS ST, SUITE 101
HOLMDEL, NJ 07733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamra Medical Laboratory Limited Liability Company's NPI number?

The NPI number for Shamra Medical Laboratory Limited Liability Company is 1063789170. It was assigned to this organization in the NPPES registry on November 18, 2011.

Where is Shamra Medical Laboratory Limited Liability Company located?

Shamra Medical Laboratory Limited Liability Company is located at 668 N Beers St Suite 104, Holmdel, NJ 07733. The listed phone number is (732) 888-0017.

What is Shamra Medical Laboratory Limited Liability Company's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Shamra Medical Laboratory Limited Liability Company hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D1055495) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shamra Medical Laboratory Limited Liability Company was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.