Individual provider Active NPI

Lori Shakour, FNP-C

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1003537408
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01351000 Issued in NJ
Practice address
4 Paragon Way Ste 300
Freehold, NJ 07728-7805
Phone
(732) 462-9800
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01351000 NJ Primary

Addresses

Primary practice location

4 Paragon Way Ste 300
Freehold, NJ 07728-7805

Mailing address

363 Lodi CT
Belford, NJ 07718-1016
Phone (908) 601-6544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108001996 NJ Practitioner - Nurse Practitioner 8527435312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

4 Paragon Way
Suite 300
Freehold, NJ 07728-7805
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Oct 1, 2022 Accepting new patients
Schweiger Dermatology PLLC PastSince Sep 11, 2022 Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

51 Kent Rd
Howell, NJ 07731
Phone (732) 886-7503

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

1000 State Route 35
Ste 200
Middletown, NJ 07748
Phone (732) 837-3313

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1003537408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 LODI CT",
            "city": "BELFORD",
            "state": "NJ",
            "postal_code": "077181016",
            "telephone_number": "908-601-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARAGON WAY STE 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287805",
            "telephone_number": "732-462-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOUR",
        "first_name": "LORI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01351000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.