Active NPI
Robert David Shlien, MD
- Gastroenterology Physician
- Wayne, NJ
National Provider Identifier
1154322246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA04992600
- Practice address
- 1777 Hamburg Turnpike
Suite 305
Wayne, NJ 07470-5211 - Phone
- (973) 839-6400
- Fax
- (973) 839-7083
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA04992600 | NJ | Primary |
Addresses
Primary practice location
1777 Hamburg Turnpike
Suite 305
Wayne, NJ 07470-5211
Mailing address
1777 Hamburg Turnpike
Suite 305
Wayne, NJ 07470-5211
Phone (973) 839-6400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Health Partners | Current | Accepting new patients | |
| Atlantic Health Partners | Current | Accepting new patients |
Locations
333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965
1777 Hamburg Tpke
Ste 305
Wayne, NJ 07470
Phone (973) 831-6666
1777 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 295-5200
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1154322246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TURNPIKE",
"address_2": "SUITE 305",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-839-6400",
"fax_number": "973-839-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TURNPIKE",
"address_2": "SUITE 305",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-839-6400",
"fax_number": "973-839-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHLIEN",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA04992600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.