NPIMap

Individual provider Active NPI

Paul E. Schackman, M.D.

  • Cardiovascular Disease Physician
  • Union, NJ
National Provider Identifier
1144216342
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA04208700 Issued in NJ
Practice address
1317 Morris Ave
Union, NJ 07083-3309
Phone
(908) 964-9370
Fax
(908) 964-9308
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA04208700 NJ Primary

Addresses

Primary practice location

1317 Morris Ave
Union, NJ 07083-3309

Mailing address

1317 Morris Ave
Union, NJ 07083-3309
Phone (908) 964-9370

Other identifiers 1

IdentifierTypeStateIssuer
3283801MedicaidNJ

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
I20050113000842 NJ Practitioner - Cardiovascular Disease (Cardiology) 3173572427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Rochester School of Medicine and Dentistry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Cardiology Associates PAGroup PAC ID 2062541089, 3 clinicians

Practice addresses (Care Compare)

1317 Morris Ave
Union, NJ 07083-3350
Phone (908) 964-9370

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Merit-based Incentive Payment System (MIPS)

Final score
94.52 of 100Reported as group
Quality
78.07
Improvement activities
40
Cost
81.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04208700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Cardiology Associates PA Cardiovascular Disease CurrentSince Jan 1, 1989 Accepting new patients
Trinitas Physicians Practice, LLC Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Robert I Greenblatt MD PA Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

1317 Morris Ave
Union, NJ 07083
Phone (908) 964-9370

1317 Morris Ave
Ste 1
Union, NJ 07083

Interoperability endpoints

  • Direct secure messaging: paul.schackman@direct.digidms.com

Organizations & group practices 4

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 7

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1144216342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833309",
            "telephone_number": "908-964-9370",
            "fax_number": "908-964-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833309",
            "telephone_number": "908-964-9370",
            "fax_number": "908-964-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACKMAN",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA04208700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3283801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.