Individual provider Active NPI

Keith Ira Sherrow, M.D.

  • Internal Medicine Physician
  • Monroe Township, NJ
National Provider Identifier
1225130701
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MAO63733 Issued in NJ
Practice address
1600 Perrineville Rd
Suite 25
Monroe Township, NJ 08831-4923
Phone
(609) 655-1945
Fax
(609) 655-1967
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MAO63733 NJ Primary

Addresses

Primary practice location

1600 Perrineville Rd
Suite 25
Monroe Township, NJ 08831-4923

Mailing address

1600 Perrineville Rd
Suite 25
Monroe Township, NJ 08831-4925
Phone (609) 655-1945

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000307 NJ Practitioner - Internal Medicine 7416992342 Practice locations: Monroe TWP, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Perrineville Rd
Suite 25
Monroe TWP, NJ 08831-4925

1600 Perrineville Rd
Suite 25
Monroe TWP, NJ 08831-4926
Phone (609) 655-1945

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO63733NJMDInternal Medicine Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1225130701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD",
            "address_2": "SUITE 25",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088314925",
            "telephone_number": "609-655-1945",
            "fax_number": "609-655-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD",
            "address_2": "SUITE 25",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088314923",
            "telephone_number": "609-655-1945",
            "fax_number": "609-655-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROW",
        "first_name": "KEITH",
        "middle_name": "IRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO63733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

Verify at the official NPI Registry.