Individual provider Active NPI

Irina M Shumskaya, MD

  • Internal Medicine Physician
  • Laurence Harbor, NJ
National Provider Identifier
1134377054
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA043697 Issued in NJ
Practice address
5 Picaron PL
Laurence Harbor, NJ 08879-2902
Phone
(732) 970-3395
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA043697 NJ Primary

Addresses

Primary practice location

5 Picaron PL
Laurence Harbor, NJ 08879-2902

Mailing address

5 Picaron PL
Laurence Harbor, NJ 08879-2902
Phone (732) 970-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA043697NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1134377054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PICARON PL",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792902",
            "telephone_number": "732-970-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PICARON PL",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792902",
            "telephone_number": "732-970-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMSKAYA",
        "first_name": "IRINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA043697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurence Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.