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

Individual provider Obstetrics & Gynecology Physician · NPI 1114121571

Khashayar Shakiba, MD is an Obstetrics/Gynecology in Paramus, New Jersey. Qualified in 1997, 29 years ago. Practices with Women's Pelvic Surgery of North Jersey, LLC, a 3-clinician group and offers telehealth. Licensed in New Jersey.

Years since qualifying
29
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Kalisa Way Ste 103
Paramus, NJ 07652-3508
Phone: (201) 301-2772
Fax: (201) 882-8422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MA08288700 (NJ)

Record details

NPI number1114121571
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESNovember 2, 2010

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Women'S Pelvic Surgery Of North Jersey, Llc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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