Richard B. Shoenfeld, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

25MA04058200 Issued in NJ

Practice address

741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174

Phone

(973) 243-9729

Fax

(973) 243-9674

NPI assigned

May 23, 2006

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JACAED/Endpoint/JACAED
• Direct secure messaging: rshoe00@accessctr.md.direct-ci.com

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

• NJ Vein & Cosmetic Surgery Center, PA

  • Ambulatory Surgical Clinic/Center
  • West Orange, NJ
  • NPI 1063531911
  Medicare reassignment NPD
• Optima Medical Rehabilitation P a.

  • Physical Medicine & Rehabilitation Physician
  • Montclair, NJ
  • NPI 1659709129
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1033164553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ROUTE 66",
            "address_2": "SUITE 131",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537300",
            "telephone_number": "732-383-4173",
            "fax_number": "732-741-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE",
            "address_2": "SUITE 105",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521174",
            "telephone_number": "973-243-9729",
            "fax_number": "973-243-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOENFELD",
        "first_name": "RICHARD",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA04058200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saagar Vinit Sheth, DO
• Anna Shingelo
• Bijan Shirazi, RPH
• Shirley Court Gonzalez, LCSW BCD LLC
• Laurel Shnider, PT, DPT
• Patricia Ann Shorrock, RN,APN,C
• Veselin Shumantov, DDS
• David Sidener, PHD, BCBA-D
• Amanda P Siegel, DPM
• Sigma Community Enrichment Initiative (SCEI, Inc.)

• Vascular & Interventional Radiology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.