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DR. SHADY RAAFAT BARSOOM MD
NPI 1760284657
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since March 24, 2025
20 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-3942 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shady Raafat Barsoom Md NPPES

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

DR. SHADY RAAFAT BARSOOM MD (NPI 1760284657) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1760284657
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHADY RAAFAT BARSOOMCredential: MD
Location Address20 PROSPECT AVEHackensack, NJ 07601-1997
Mailing Address103 Dewitt AveBelleville, NJ 07109-2500 · (973) 856-4549
Phone(551) 996-3942
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1760284657 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.
20 PROSPECT AVE, Hackensack, NJ 07601
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Other Providers at the Same Location NPPES 20

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

DR. CHRISTOPHER M. SHAARI M.D.
Otolaryngology
20 PROSPECT AVE, SUITE 712
HACKENSACK, NJ 07601
Bergen County (201) 342-8060
MS. ELIZABTH ANNE BILOTTI APN-BC
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Bergen County (201) 996-5900
DR. JOSEPH B. GLOWACKI DO
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-3205
JEROME F LEVINE M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
MS. THERESA M GABAY APRN, BC
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-5251
LISA HA
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
THE CENTER FOR ADVANCED NEUROSURGERY, LLC
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Bergen County (201) 881-0700

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 Shady Barsoom's NPI number?

The NPI number for Shady Barsoom is 1760284657. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Shady Barsoom located?

Shady Barsoom practices at 20 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-3942.

What is Shady Barsoom's specialty?

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

When was this NPI record last updated?

The NPPES record for Shady Barsoom was last updated on March 24, 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.