NPIMap

Individual provider Active NPI

Joshua R Shua-Haim, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Manchester, NJ
National Provider Identifier
1073554879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA05837900 Issued in NJ
Practice address
1043 Route 70 Unit C-3
Manchester, NJ 08759-5806
Phone
(732) 657-6100
Fax
(732) 657-0111
NPI assigned
Jun 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA05837900 NJ Primary

Addresses

Primary practice location

1043 Route 70 Unit C-3
Manchester, NJ 08759-5806

Mailing address

1043 Route 70 Unit C-3
Manchester, NJ 08759-5806
Phone (732) 657-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000120 NJ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0749226025 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Geriatric Associates Ocean PAGroup PAC ID 8123064409, 2 clinicians

Practice addresses (Care Compare)

1043 RT 70
Unit C3
Manchester, NJ 08759-5806
Phone (732) 657-6100

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc CurrentSince Oct 11, 2022 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 11, 2022 Accepting new patients
Mid Atlantic Geriatric Associates Ocean, P.a Geriatric Medicine CurrentSince Jul 1, 2005 Accepting new patients
Rwjbh Primary Care Services Geriatric Medicine CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jun 3, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Shore Gardens Rehabilitation and Nursing Center LLC Past Accepting new patients
Bayville Healthcare LLC Past Accepting new patients
Crystal Spring Center LLC Past Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1043 Route 70
Manchester, NJ 08759
Phone (732) 657-6100

1043 Route 70
Ste C3
Manchester, NJ 08759
Phone (732) 408-3262

1043 Route 70
Unit C3
Manchester, NJ 08759
Phone (732) 657-6100

99 Route 37 W
#5
Toms River, NJ 08755
Phone (732) 477-8988

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: joshua.shuahaim@chemed.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073554879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ROUTE 70 UNIT C-3",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-657-6100",
            "fax_number": "732-657-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ROUTE 70 UNIT C-3",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-657-6100",
            "fax_number": "732-657-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUA-HAIM",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA05837900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

Verify at the official NPI Registry.