Individual provider Active NPI

Richard E Scheuermann, M.D.

  • Family Medicine Physician
  • Medford, NJ
National Provider Identifier
1073547428
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05929200 Issued in NJ
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

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1036576OtherPAKEYSTONE MERCY
0708308000OtherNJKETSTONE/AMERIHEALTH
463157OtherPAHIGHMARK
764734OtherNJHIGHMARK
0010127770001MedicaidPA
0058581000OtherPAIBC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000275 NJ Practitioner - Family Practice 7810911575 Reassigns benefits to 1 organization
Practice locations: Medford, NJ

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
Pineland Plaza Family Practice LLCGroup PAC ID 5799160180, 2 clinicians

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 Home health agency, Marlton, NJ, CCN 317071
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05929200NJMDFamily Medicine Physician
MD039412LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pineland Plaza Family Practice, LLC Family Medicine CurrentSince Sep 9, 2022 Accepting new patients
Hess Bondi LLC PastSince Sep 15, 2022 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.