SHABBAR F DANISH MD
NPI 1881757268
Neurological Surgery in Neptune, NJ

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
19 DAVIS AVENUE, HOPE TOWER 4TH FL., NEPTUNE, NJ 07753(732) 974-0003(732) 974-0336 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shabbar F Danish Md NPPES

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

SHABBAR F DANISH MD (NPI 1881757268) is an individual neurological surgery provider in Neptune, New Jersey, licensed in New Jersey (25MA08350900) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2001).

NPPES Registry Identity

NPI1881757268
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameSHABBAR F DANISHCredential: MD
Location Address19 DAVIS AVENUE, HOPE TOWER 4TH FL.Neptune, NJ 07753
Mailing Address19 Davis Ave Fl 4Neptune, NJ 07753-4488 · (732) 749-0003 · Fax (732) 974-0366
Fax(732) 974-0336
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2001
Enumeration DateDecember 18, 2006
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1881757268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NJ · 25MA08350900
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
19 DAVIS AVENUE, Neptune, NJ 07753

Other Identifiers 2

Medicaid0182699NJ
OtherP00883886NJ · Rr Mcr Ptan

Accepted 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

Shabbar F Danish Md 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 ID6901961036
PECOS Enrollment IDI20090224000406
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

3

Medicare enrollment records show Shabbar Danish reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Pediatric Surgery
1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
Surgery
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 28 clinicians in this Medicare group

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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services105 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
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.
21 services20 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
20 services19 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.
14 services14 patients
Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array 61867
This procedure involves the careful removal of a small portion of the skull, and with the aid of computer technology, electrodes are inserted into the brain. These electrodes help in brain activity recording and stimulation. This is the first array or set.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 2

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

Surgery
19 DAVIS AVENUE, 4TH FLOOR
NEPTUNE, NJ 07753
Nurse Practitioner
19 DAVIS AVENUE
NEPTUNE, NJ 07753

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 Shabbar Danish's NPI number?

The NPI number for Shabbar Danish is 1881757268. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Shabbar Danish located?

Shabbar Danish practices at 19 Davis Avenue Hope Tower 4th Fl., Neptune, NJ 07753. The listed phone number is (732) 974-0003.

What is Shabbar Danish's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Shabbar Danish enrolled in Medicare?

Yes. Shabbar Danish 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 Shabbar Danish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shabbar Danish reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ) and Rutgers Health-Rwj Neurosurgery Faculty (Somerville, 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 Shabbar Danish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shabbar Danish accept?

Health plans from Oscar Health list Shabbar Danish 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 Shabbar Danish affiliated with any hospitals?

According to CMS data, Shabbar Danish is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Shabbar Danish was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.