Organization Active NPI

Ronald Howard Sheppard D

  • Durable Medical Equipment & Medical Supplies
  • Watchung, NJ
National Provider Identifier
1073790465
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD1954 Issued in NJ
Legal business name
RONALD HOWARD SHEPPARD D
Practice address
10 Shawnee Dr
Watchung, NJ 07069-5803
Phone
(908) 769-5337
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Ms. Kathy Muhlhausen
Title
Office Manager
Phone
(908) 769-5337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD1954 NJ Primary

Addresses

Primary practice location

10 Shawnee Dr
Watchung, NJ 07069-5803

Mailing address

10 Shawnee Dr
Watchung, NJ 07069-5803
Phone (908) 769-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092764 NJ DME Supplier - Physician - Podiatry 5395866503 Practice locations: Watchung, NJ

National Provider Directory

National Provider Directory
Tax ID family
Ronald H Sheppard DPM2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1073790465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-769-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-769-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD HOWARD SHEPPARD D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MUHLHAUSEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-769-5337",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD1954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.