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DR. FAYEZ SHAMOON M.D.
NPI 1528053477
Internal Medicine - Cardiovascular Disease in Edison, NJ

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
35-37 PROGRESS ST, EDISON, NJ 08820(908) 754-9292(908) 754-3358 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Fayez Shamoon M.d. NPPES

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

DR. FAYEZ SHAMOON M.D. (NPI 1528053477) is an individual cardiovascular disease provider in Edison, New Jersey, licensed in New Jersey (25MA05551600) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1528053477
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. FAYEZ SHAMOONCredential: M.D.
Location Address35-37 PROGRESS STEdison, NJ 08820
Mailing Address35-37 Progress StEdison, NJ 08820 · (908) 754-9292 · Fax (908) 754-3358
Phone(908) 754-9292
Fax(908) 754-3358
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1528053477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA05551600
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
35-37 PROGRESS ST, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 1

Medicaid6884504NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fayez Shamoon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557307048
PECOS Enrollment IDI20050706000929
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Fayez Shamoon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Michaels Cardiology Associates
14 mi
Cardiovascular Disease
268 MARTIN LUTHER KING JR BLVD
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 14 clinicians in this Medicare group
NPI 1457481954 (973) 759-8700
St. Joseph's Healthcare, Inc.
23 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
23 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
Medical Associates Of Englewood, PC
29 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
687 services279 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
562 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
181 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
102 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services77 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MEENAKSHI KUKREJA M D P A
Clinic/Center (Rehabilitation)
35-37 PROGRESS ST, SUITE B5
EDISON, NJ 08820
Middlesex County (908) 755-0550
NORTH EDISON FAMILY PRACTICE GROUP, LLC
Internal Medicine
35-37 PROGRESS ST
EDISON, NJ 08820
Middlesex County (908) 755-9797
DR. ERIC LEWIS KOLODIN DPM
Podiatrist (Foot Surgery)
35-37 PROGRESS ST, A3
EDISON, NJ 08820
Middlesex County (908) 458-3928
NABILA A GANDHI MD
Internal Medicine
35-37 PROGRESS ST, SUITE A3
EDISON, NJ 08820
Middlesex County (908) 755-9797
HARDEEK PATEL D.D.S.
Dentist (General Practice)
35-37 PROGRESS ST, SUITE # A 6
EDISON, NJ 08820
Middlesex County (908) 756-5800

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 Fayez Shamoon's NPI number?

The NPI number for Fayez Shamoon is 1528053477. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Fayez Shamoon located?

Fayez Shamoon practices at 35-37 Progress St, Edison, NJ 08820. The listed phone number is (908) 754-9292.

What is Fayez Shamoon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Fayez Shamoon enrolled in Medicare?

Yes. Fayez Shamoon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Fayez Shamoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fayez Shamoon reassigns Medicare benefits to 4 organizations: St Michaels Cardiology Associates (Newark, NJ), St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and Medical Associates Of Englewood, PC (Englewood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fayez Shamoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fayez Shamoon accept?

Health plans from Oscar Health list Fayez Shamoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fayez Shamoon affiliated with any hospitals?

According to CMS data, Fayez Shamoon is affiliated with St Joseph's University Medical Center Inc, Englewood Hospital And Medical Center and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Fayez Shamoon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.