Shanthi Subbiah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08313500 Issued in NJ

Practice address

1405 Chews Landing Rd
Suite 14
Laurel Springs, NJ 08021-2769

Phone

(856) 782-3300

Fax

(856) 504-8029

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Ohio State University College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Health Connections, PCGroup PAC ID 8022271410, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Red Oak Hospice LLC Hospice, Bridgeton, NJ, CCN 311586
• Atlas Rehabilitation & Healthcare at West Deptfor Nursing home, West Deptford, NJ, CCN 315246
• Atlas Post Acute at Woodbury Country Club Nursing home, Woodbury, NJ, CCN 315521

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tri-County Health Connections PC

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1124660501

  NJ

  Medicare reassignment Care Compare group NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  Internal Medicine, NJ

  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162

  Internal Medicine

  NPD
• Manor Care-West Deptford of Paulsboro NJ LLC

  • Skilled Nursing Facility
  • Paulsboro, NJ
  • NPI 1114962073
  NPD (past)
• Sicklerville Internal Medicine

  • Internal Medicine Physician
  • Laurel Springs, NJ
  • NPI 1821045428

  Internal Medicine

  NPD (past)
• Tri-County Health Connections PC

  • Neurology Physician
  • Woodbury, NJ
  • NPI 1417220310
  NPD (past)
• West Deptford SNF Operations LLC

  • Skilled Nursing Facility
  • West Deptford, NJ
  • NPI 1740046184
  NPD (past)

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

• Red Oak Hospice LLC

  • Community Based Hospice Care Agency
  • Bridgeton, NJ
  • NPI 1275084840

  Hospice

  Care Compare affiliation
• West Deptford SNF Operations LLC

  • Skilled Nursing Facility
  • West Deptford, NJ
  • NPI 1740046184

  Nursing home

  Care Compare affiliation
• Woodbury SNF Operations LLC

  • Skilled Nursing Facility
  • Woodbury, NJ
  • NPI 1891406013

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1104897370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "address_2": "SUITE 14",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "address_2": "SUITE 14",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBIAH",
        "first_name": "SHANTHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08313500",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08313500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8245100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA08313500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solus Pharmacy LLC
• Solus Pharmacy LLC
• Sos Transportation LLC
• Theresa Soutar, R.N. APN-C
• Sports Medicine Solutions
• John Andrew Szczepanski, O.D.
• Alyssa P Taylor, FNP-BC
• Carson Thomas, LAC
• Christine Ann Tierno, OTR/L
• Rebecca Tomlinson

• All providers in Laurel Springs, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.

Verify at the official NPI Registry.