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SHOROK ABDALLA MARIA DO, MD
NPI 1083417588
Student in an Organized Health Care Education/Training Program in South River, NJ

Active since March 31, 2025PECOS Enrolled
21 PULAWSKI AVE, SOUTH RIVER, NJ 08882(347) 671-5736 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shorok Abdalla Maria Do, Md NPPES

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

SHOROK ABDALLA MARIA DO, MD (NPI 1083417588) is an individual student in an organized health care education/training program in South River, New Jersey and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083417588
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHOROK ABDALLA MARIACredential: DO, MD
Location Address21 PULAWSKI AVESouth River, NJ 08882-1525
Mailing Address21 Pulawski AveSouth River, NJ 08882-1525 · (347) 671-5736
Phone(347) 671-5736
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1083417588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
21 PULAWSKI AVE, South River, NJ 08882
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shorok Abdalla Maria Do, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Shorok Maria's NPI number?

The NPI number for Shorok Maria is 1083417588. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Shorok Maria located?

Shorok Maria practices at 21 Pulawski Ave, South River, NJ 08882. The listed phone number is (347) 671-5736.

What is Shorok Maria's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shorok Maria enrolled in Medicare?

Yes. Shorok Maria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shorok Maria was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.