Edred V Shen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06695100 Issued in NJ

Practice address

2253 South Ave
Suite 3
Scotch Plains, NJ 07076-4688

Phone

(908) 654-1500

Fax

(908) 654-7391

NPI assigned

Nov 8, 2005

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Hospice of Clifton, LLC Hospice, Bloomfield, NJ, CCN 311542
• Overlook Medical Center Hospital, Summit, NJ, CCN 310051
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108
• Complete Care at Westfield, LLC Nursing home, Westfield, NJ, CCN 315122
• Spring Grove Rehabilitation and Healthcare Center Nursing home, New Providence, NJ, CCN 315005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Medical of Central Jersey,LLC

  • Internal Medicine Physician
  • Scotch Plains, NJ
  • NPI 1457602823
  Medicare reassignment NPD Authorized official
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment NPD
• Complete Care at Westfield LLC

  • Skilled Nursing Facility
  • Westfield, NJ
  • NPI 1356923288
  NPD (past)
• Hospitalists Emo, LLC

  dba Inpatient Medical Associates of New Jersey

  • Hospitalist Physician
  • Livingston, NJ
  • NPI 1275575623
  NPD (past)
• Apogee Medical Group of New Jersey PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1104873629
  NPD (past)
• Regional Physician Services, NJ, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1396736864
  NPD (past)

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

• Ahs Hospital Corp.

  dba Overlook Hospital

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143
  Care Compare affiliation
• Compassionate Care Hospice of Clifton, LLC

  • Community Based Hospice Care Agency
  • Bloomfield, NJ
  • NPI 1245233816
  Care Compare affiliation
• Complete Care at Westfield LLC

  • Skilled Nursing Facility
  • Westfield, NJ
  • NPI 1356923288

  Nursing home

  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• HMH Hospitals Corporation

  dba JFK University Medical Center

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  Care Compare affiliation
• Spring Grove Operator LLC

  dba Spring Grove Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • New Providence, NJ
  • NPI 1487151940

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1154302024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 SOUTH AVE",
            "address_2": "SUITE 3",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764688",
            "telephone_number": "908-654-1500",
            "fax_number": "908-654-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 SOUTH AVE",
            "address_2": "SUITE 3",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764688",
            "telephone_number": "908-654-1500",
            "fax_number": "908-654-7391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-6414",
            "fax_number": "908-598-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEN",
        "first_name": "EDRED",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA06695100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06695100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Stephen Eugenio Serrano, LAC
• Laura Michele Sevilla, MA, LAC, NCC
• Mehul Ratanshi Shah, RPH
• Maxine Elizabeth Shannon, LAC
• Sandra Butler Sharp, LCSW
• Woo Shin
• Maria Sikoutris-Diiorio, LPC
• Cynthia Ann Silkowski, MA, RDMS, RVT
• Maria Simone, APN,C
• Jennifer Kate Simpson, NP

• Internal Medicine Physician in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.