Timothy Mark Shorey

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1001 Washington Ave
Prospect Park, PA 19076-1307

Phone

(732) 551-4143

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1235885195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 ROSEMONT AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265238",
            "telephone_number": "732-551-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON AVE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761307",
            "telephone_number": "732-551-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREY",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rha/Pennsylvania Nursing Home Inc (Prospect Park Health & Rehab)
• Richard N Benjamin DDS PC
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00856)
• S & S Home Care Solutions LLC
• Senior Care Therapy of Pennsylvania, P.C.
• Katerina Sioutis, DMD
• Erin Smida, LPC
• Stat Care Family Medical
• Jenna Syken, LAT, ATC
• Hajira Tahir

• Pastoral Counselor in Prospect Park, PA
• Providers in Prospect Park, PA by specialty
• Pastoral Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.