Active NPI
Shuvo Roy
- Family Medicine Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PENDING
- Practice address
- 42 E Laurel Rd Ste 2100a
Stratford, NJ 08084-1354 - Phone
- (856) 566-6477
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | PENDING | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd Ste 2100a
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd Ste 2100a
Stratford, NJ 08084-1354
Phone (856) 566-7020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rshuvo281254@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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3242 Route 206
Bordentown, NJ 08505-4517
42 E Laurel Rd
Stratford, NJ 08084-1354
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Family Medicine | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
303 Lippincott Dr
Marlton, NJ 08053
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
42 E Laurel Rd
Ste 2100A
Stratford, NJ 08084
Phone (856) 566-6477
Interoperability endpoints
- rshuvo281254@directvirtua.org
Organizations & group practices 3
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
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Mount Holly, NJ
- NPI 1851841696
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1033791850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 2100A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-7020",
"fax_number": "856-566-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 2100A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-6477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "SHUVO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rshuvo281254@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 2100A",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.