Active NPI
Luke Shieh
- Pediatrics Physician
- Cherry Hill, NJ
National Provider Identifier
1154697142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09880100
- Practice address
- 710 Kresson Rd
Cherry Hill, NJ 08003-2604 - Phone
- (856) 795-3320
- Fax
- (856) 795-1213
- NPI assigned
- Mar 24, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA09880100 | NJ | Primary |
Addresses
Primary practice location
710 Kresson Rd
Cherry Hill, NJ 08003-2604
Mailing address
710 Kresson Rd
Cherry Hill, NJ 08003-2604
Phone (856) 795-3320
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725000019 | NJ | Order and Referring Only - Pediatric Medicine | 2860785110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- luke.shieh@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1154697142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 KRESSON RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032604",
"telephone_number": "856-795-3320",
"fax_number": "856-795-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 KRESSON RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032604",
"telephone_number": "856-795-3320",
"fax_number": "856-795-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIEH",
"first_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-24",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09880100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.