Individual provider Active NPI

Kristen M Shapren, M.D.

  • Pediatrics Physician
  • Westfield, NJ
National Provider Identifier
1225147358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07547400 Issued in NJ
Practice address
592 Springfield Ave # B
Westfield, NJ 07090-1002
Phone
(908) 233-8860
Fax
(908) 654-7728
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07547400 NJ Primary

Addresses

Primary practice location

592 Springfield Ave # B
Westfield, NJ 07090-1002

Mailing address

592 Springfield Ave # B
Westfield, NJ 07090-1002
Phone (908) 233-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Philadelphia Pediatrics Past Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristen.shapren.1@2983.direct.athenahealth.com

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225147358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 SPRINGFIELD AVE # B",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901002",
            "telephone_number": "908-233-8860",
            "fax_number": "908-654-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 SPRINGFIELD AVE # B",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901002",
            "telephone_number": "908-233-8860",
            "fax_number": "908-654-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPREN",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07547400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.