Active NPI
Dianna M Shinkarow, MSN, APRN, NP-C
- Family Nurse Practitioner
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00828500
- Practice address
- 100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149 - Phone
- (856) 380-2400
- Fax
- (856) 234-7870
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00828500 | NJ | Primary |
Addresses
Primary practice location
100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149
Mailing address
100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149
Phone (856) 380-2400
Other practice location 1
1474 Tanyard Road
Suite D100
Sewell, NJ 08080
Phone (856) 566-6265
Other practice location 2
854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033
Phone (609) 704-0185
Other practice location 3
42 E Laurel Rd Ste 2100-A
Stratford, NJ 08084-1354
Phone (856) 566-7020
Other practice location 4
405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone (856) 218-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0658766 | Medicaid | NJ |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dshinkarow248962@directvirtua.org | ||
| Direct Messaging Address | dshinkarow248962@directvirtua.org | ||
| Direct Messaging Address | dshinkarow248962@directvirtua.org | ||
| Direct Messaging Address | dshinkarow248962@directvirtua.org | ||
| Direct Messaging Address | dshinkarow248962@directvirtua.org | ||
| Direct Messaging Address | dshinkarow248962@directvirtua.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Century Pkwy
Mount Laurel, NJ 08054-1149
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00828500 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Kennedy University Hospital Inc. | Past | Accepting new patients | |
| Rowansom Dept of Pediatrics | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
854 S White Horse Pike
Unit 4
Hammonton, NJ 08037
Phone (609) 704-0185
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
303 Lippincott Dr
Marlton, NJ 08053
100 Century Pkwy
Ste 140
Mount Laurel, NJ 08054
Phone (856) 380-2400
1474 Tanyard Rd
Ste D100
Sewell, NJ 08080
Phone (856) 566-6265
570 Egg Harbor Rd
Ste C2D
Sewell, NJ 08080
Phone (856) 218-0300
405 Hurffville Crosskeys Rd
Ste 101
Sewell, NJ 08080
Phone (856) 218-0300
42 E Laurel Rd
Ste 2100A
Stratford, NJ 08084
Phone (856) 566-6477
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- Pediatrics Physician
- Sewell, NJ
- NPI 1275503203
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1033603949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTURY PKWY STE 140",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541149",
"telephone_number": "856-380-2400",
"fax_number": "856-234-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURY PKWY STE 140",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080541149",
"telephone_number": "856-380-2400",
"fax_number": "856-234-7870"
}
],
"practiceLocations": [
{
"address_1": "1474 Tanyard Road",
"address_2": "Suite D100",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "08080",
"country_code": "US",
"telephone_number": "856-566-6265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "854 S White Horse Pike Unit 4",
"address_purpose": "LOCATION",
"city": "Hammonton",
"state": "NJ",
"postal_code": "080372033",
"country_code": "US",
"telephone_number": "609-704-0185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 E Laurel Rd Ste 2100-A",
"address_purpose": "LOCATION",
"city": "Stratford",
"state": "NJ",
"postal_code": "080841354",
"country_code": "US",
"telephone_number": "856-566-7020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Hurffville Crosskeys Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080809340",
"country_code": "US",
"telephone_number": "856-218-0300",
"fax_number": "856-589-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHINKAROW",
"first_name": "DIANNA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00828500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0658766",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 2100-A",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "1474 Tanyard Road",
"address_2": "Suite D100",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "08080",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "100 Century Pkwy Ste 140",
"city": "Mount Laurel",
"state": "NJ",
"country_code": "US",
"postal_code": "080541149",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "854 S White Horse Pike Unit 4",
"city": "Hammonton",
"state": "NJ",
"country_code": "US",
"postal_code": "080372033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "570 Egg Harbor Rd Ste C2-D",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080802359",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dshinkarow248962@directvirtua.org",
"affiliation": "N",
"address_1": "405 Hurffville Crosskeys Rd Ste 101",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080809340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.