Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna K Shaheed

Individual provider Family Nurse Practitioner · NPI 1174062558

Johanna K Shaheed is a Nurse Practitioner in Newark, New Jersey. Qualified in 2014, 12 years ago. Practices with Villagehealth Dm LLC, a 155-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

61 Hobson St
Newark, NJ 07112-1308
Phone: (862) 596-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00651600 (NJ)

Record details

NPI number1174062558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017
Mailing address61 Hobson St, Newark, NJ 07112-1308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Villagehealth Dm Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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