Shoreview Medical, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002106107 Issued in DE

Legal business name

SHOREVIEW MEDICAL, PA

Practice address

28312 Lewes-Georgetown Highway
Cool Spring Office Park
Milton, DE 19968

Phone

(302) 684-0990

Fax

(302) 684-0991

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Uday Jani, M.D.NPI 1871548693

Title

President

Phone

(302) 684-0990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uday Ashwin Jani, M.D.

  • Internal Medicine Physician
  • Milton, DE
  • NPI 1871548693

  DE

  Medicare reassignment NPD Authorized official
• Patricia Hannon, P.A.

  • Physician Assistant
  • Milton, DE
  • NPI 1679648455
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1184737751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28312 LEWES-GEORGETOWN HIGHWAY",
            "address_2": "COOL SPRING OFFICE PARK",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "19968",
            "telephone_number": "302-684-0990",
            "fax_number": "302-684-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28312 LEWES-GEORGETOWN HIGHWAY",
            "address_2": "COOL SPRING OFFICE PARK",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "19968",
            "telephone_number": "302-684-0990",
            "fax_number": "302-684-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREVIEW MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-684-0990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "2002106107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000016067",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rowley Primary Care LLC
• Scott Raymond Schaffer
• Wendi Schirvar, PHD, LP, NCSP
• Lowell F Scott Jr., MD
• Seacure Solutions LLC
• Amanda Brandner Smith, OD
• Wayne L. Sodano, D.C., D.A.B.C.I.
• Shana Spencer
• Marisa Spudis
• Julie Stagg, PHARM.D

• All providers in Milton, DE
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.