John Shao MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA08417900 Issued in NJ

Legal business name

JOHN SHAO MD LLC

Practice address

718 Hudson Park
Edgewater, NJ 07020-1498

Phone

(917) 597-9954

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Shao, MD

Title

President

Phone

(917) 597-9954

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wei Wei Li, MD

  • Allergy Physician
  • Edgewater, NJ
  • NPI 1720246465
  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1194269639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 HUDSON PARK",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201498",
            "telephone_number": "917-597-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 HUDSON PARK",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201498",
            "telephone_number": "917-597-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SHAO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-597-9954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08417900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gentile Physical Therapy LLC
• Jennifer Jocelyn, LLC
• Amanda Jeon
• Miji Jeon
• Adam Jimoh, PMHNP
• Marielle Johnson, D.M.D
• Nicole Journe
• Junkim Chiropractic LLC
• Gordon M Kaplan, M.D.
• Cecilia Kalijman Karol, MD

• Cardiovascular Disease Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.