Individual provider Active NPI

Edward Shen, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elizabeth, NJ
National Provider Identifier
1093973174
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09306300 Issued in NJ
Practice address
219 S Broad St
Suite 2
Elizabeth, NJ 07202-3453
Phone
(201) 877-0518
Fax
(908) 352-6181
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09306300 NJ Primary

Addresses

Primary practice location

219 S Broad St
Suite 2
Elizabeth, NJ 07202-3453

Mailing address

219 S Broad St
Elizabeth, NJ 07202-3453
Phone (908) 818-1600

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
I20131017001781 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 7911131354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

219 S Broad St
Elizabeth, NJ 07202-3453
Phone (201) 877-0518

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Pain Specialty Care LLC Pain Medicine CurrentSince Nov 10, 2014 Accepting new patients
Universal Pain Management,PC Past Accepting new patients

Locations

219 S Broad St
Ste 2
Elizabeth, NJ 07202
Phone (908) 352-5927

219 S Broad St
Elizabeth, NJ 07202
Phone (908) 352-8110

Interoperability endpoints

  • Direct secure messaging: painmdshen@sapscl-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 4

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1093973174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023453",
            "telephone_number": "908-818-1600",
            "fax_number": "908-818-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S BROAD ST",
            "address_2": "SUITE 2",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023453",
            "telephone_number": "201-877-0518",
            "fax_number": "908-352-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09306300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.