Active NPI
Richard E Scheuermann, M.D.
- Family Medicine Physician
- Medford, NJ
National Provider Identifier
1073547428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA05929200
- Practice address
- 617 Stokes Rd
Suite 9
Medford, NJ 08055-3097 - Phone
- (609) 953-8080
- Fax
- (609) 953-2133
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA05929200 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | MD039412L | PA |
Addresses
Primary practice location
617 Stokes Rd
Suite 9
Medford, NJ 08055-3097
Mailing address
617 Stokes Rd
Suite 9
Medford, NJ 08055-3097
Phone (609) 953-8080
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036576 | Other | PA | KEYSTONE MERCY |
| 0708308000 | Other | NJ | KETSTONE/AMERIHEALTH |
| 463157 | Other | PA | HIGHMARK |
| 764734 | Other | NJ | HIGHMARK |
| 0010127770001 | Medicaid | PA | |
| 0058581000 | Other | PA | IBC KEYSTONE EAST |
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, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
617 Stokes Rd
Suite 9
Medford, NJ 08055-3097
Phone (609) 953-8080
Hospital & facility affiliations
- Virtua Home Care at West Jersey
- Virtua Mount Holly Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05929200 | NJ | MD | Family Medicine Physician |
| MD039412L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pineland Plaza Family Practice, LLC | Family Medicine | Current | Accepting new patients |
| Hess Bondi LLC | Past | Accepting new patients |
Locations
617 Stokes Rd
Ste 9
Medford, NJ 08055
Phone (609) 654-3040
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.
-
- Family Medicine Physician
- Medford, NJ
- NPI 1154351187
-
- Podiatrist
- Sewell, NJ
- NPI 1114097722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1073547428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 STOKES RD",
"address_2": "SUITE 9",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553097",
"telephone_number": "609-953-8080",
"fax_number": "609-953-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 STOKES RD",
"address_2": "SUITE 9",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080553097",
"telephone_number": "609-953-8080",
"fax_number": "609-953-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEUERMANN",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA05929200",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD039412L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1036576",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KETSTONE/AMERIHEALTH",
"identifier": "0708308000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "463157",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "764734",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010127770001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC KEYSTONE EAST",
"identifier": "0058581000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.