Individual provider Active NPI

Daniel Shor, DO

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1013531193
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11677100 Issued in NJ
Practice address
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone
(609) 316-7666
Fax
(609) 451-0873
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB11677100 NJ Primary

Addresses

Primary practice location

525 Route 73 N Ste 117
Marlton, NJ 08053-3422

Mailing address

141 Echelon Rd
Voorhees, NJ 08043-1861

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510001555 NJ Practitioner - Family Practice 0941666309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Primary Care of New Jersey PAGroup PAC ID 2567906373, 6 clinicians
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians

Practice addresses (Care Compare)

142 Hwy 35
Suite 206
Eatontown, NJ 07724-1884
Phone (848) 258-0637

298 Applegarth Rd
Suite B
Monroe Township, NJ 08831-3822
Phone (609) 409-0600

3373 Brunswick Pike
Unit 56
Lawrenceville, NJ 08648-2414
Phone (609) 913-2473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB11677100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Primary Care of New Jersey PA CurrentSince Jan 24, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.shor.2@31873.direct.athenahealth.com

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1013531193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ECHELON RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "609-316-7666",
            "fax_number": "609-451-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOR",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11677100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.