Organization Active NPI

Shen Spine

  • Orthopaedic Surgery Physician
  • Highland Park, NJ
National Provider Identifier
1215429782
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHEN SPINE
Practice address
136 Woodbridge Ave
Highland Park, NJ 08904
Phone
(732) 638-8886
NPI assigned
May 31, 2018
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Mr. Lawrence Chiu
Title
Manager
Phone
(732) 638-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

136 Woodbridge Ave
Highland Park, NJ 08904

Mailing address

150 Maple Ave Suite 168
South Plainfield, NJ 07080-3407
Phone (732) 638-8886

National Provider Directory

National Provider Directory

Locations

1945 Morris Ave
Ste 6
Union, NJ 07083
Phone (732) 641-0838

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1215429782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAPLE AVE SUITE 168",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803407",
            "telephone_number": "732-638-8886",
            "fax_number": "732-626-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WOODBRIDGE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-638-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEN SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-638-8886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.