Active NPIIndividual providerSole proprietor

Dr. Fuad Bashjawish, DO

Internal Medicine in Perth Amboy, New Jersey

NPI Number1720508062
Practice location
1107 Convery Blvd, Perth Amboy, NJ 08861-1937
Fax
—
Last updated
October 8, 2026

Fuad Bashjawish is an Internal Medicine based in Perth Amboy, NJ. Fuad Bashjawish practices in Perth Amboy, NJ and has the professional credentials of DO. The NPI Number for Fuad Bashjawish is 1720508062 and holds a License No. 25MB11163800 (NJ). The current practice location address for Fuad Bashjawish is 1107 Convery Blvd, Perth Amboy, NJ 08861-1937 and can be reached out via phone at 862-686-6055.

Provider Profile Details

NPI Number
1720508062
Provider Name
Fuad Bashjawish
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1107 Convery Blvd, Perth Amboy, NJ 08861-1937
Phone Number
862-686-6055
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 27, 2017
Last Update Date
October 8, 2026
Certification Date
October 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1107 Convery Blvd
Perth Amboy, NJ 08861-1937
Zip
08861-1937
Phone Number
862-686-6055
Perth Amboy, NJ 08861Get directions →

Provider Business Mailing Address Details

Address
25212 Echo Lake Dr
Wharton, NJ 07885-1265
City
Wharton
State
NJ
Zip
07885-1265
Phone Number
862-686-6055

License Information

License Number (2)
25MB11163800
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Fuad Bashjawish, DO?

The NPI number of Dr. Fuad Bashjawish, DO is 1720508062. It was assigned on June 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Fuad Bashjawish, DO?

Dr. Fuad Bashjawish, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB11163800.

Where does Dr. Fuad Bashjawish, DO practice?

The practice location is 1107 Convery Blvd, Perth Amboy, NJ 08861-1937. The office can be reached at 862-686-6055 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720508062 directly on the NPPES registry website.

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