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

Mohammad Abushanab, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265005953

Mohammad Abushanab, MD is an Internal Medicine in Newark, New Jersey. Qualified in 2015, 11 years ago. Practices with Central Avenue Professional Services, PC, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2021
Specialties on file
2
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

111 Central Ave Dept FLOORD7
Newark, NJ 07102-1909
Phone: (973) 877-5487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12299700 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265005953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address111 Central Ave Dept Floord7, Newark, NJ 07102-1909

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Avenue Professional Services, Pc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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