Individual provider Active NPI

Carla V Shiller, MD

  • Dermatology Physician
  • Newark, DE
National Provider Identifier
1255730537
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD061434L Issued in PA
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone
(302) 733-1000
NPI assigned
Aug 22, 2014
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD061434L PA Primary
Dermatology Physician 207N00000X 82703 MN
Dermatology Physician 207N00000X C1-0029723 DE
Dermatology Physician 207N00000X 25MA066807000 NJ

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

PO Box 14
Changewater, NJ 07831-0014
Phone (908) 391-2548

Other practice location 1

207 House Ave Ste 107
Camp Hill, PA 17011-2308
Phone (717) 869-0928

Other practice location 2

1350 Broadcasting Rd Ste 200
Wyomissing, PA 19610-3229
Phone (610) 750-9426

Other practice location 3

1310 Route 209 Ste 105
Gilbert, PA 18331-7751
Phone (570) 664-6220

Other practice location 4

5325 Northgate Dr Ste 104
Bethlehem, PA 18017-9412
Phone (610) 936-8050

Other practice location 5

880 Century Dr Ste 101
Mechanicsburg, PA 17055-4375
Phone (717) 458-5407

Other practice location 6

8 Brookhill Sq S
Sugarloaf, PA 18249-1010
Phone (570) 459-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150216000388 NJ Practitioner - Dermatology 7719202829 Reassigns benefits to 2 organizations
I20200221001375 PA Practitioner - Dermatology 7719202829 Reassigns benefits to 2 organizations
I20260616000285 MN Practitioner - Dermatology 7719202829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1600 St Lukes Blvd
Suite 102
Easton, PA 18045-5671
Phone (484) 503-7546

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions154
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA066807000NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jan 6, 2020 Accepting new patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Aug 1, 2020 Accepting new patients
Hunterdon Specialty Care, PC Dermatology CurrentSince Jan 18, 2016 Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 18, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 6, 2020 Accepting new patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

450 Chew St
#101
Allentown, PA 18102
Phone (610) 776-4888

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

1600 St Lukes Blvd
Ste 102
Easton, PA 18045
Phone (484) 503-6647

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1255730537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "CHANGEWATER",
            "state": "NJ",
            "postal_code": "078310014",
            "telephone_number": "908-391-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 House Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112308",
            "country_code": "US",
            "telephone_number": "717-869-0928",
            "fax_number": "717-296-8868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Broadcasting Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103229",
            "country_code": "US",
            "telephone_number": "610-750-9426",
            "fax_number": "484-282-7430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Route 209 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "PA",
            "postal_code": "183317751",
            "country_code": "US",
            "telephone_number": "570-664-6220",
            "fax_number": "570-664-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Northgate Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180179412",
            "country_code": "US",
            "telephone_number": "610-936-8050",
            "fax_number": "610-936-8051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Century Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554375",
            "country_code": "US",
            "telephone_number": "717-458-5407",
            "fax_number": "717-610-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Brookhill Sq S",
            "address_purpose": "LOCATION",
            "city": "Sugarloaf",
            "state": "PA",
            "postal_code": "182491010",
            "country_code": "US",
            "telephone_number": "570-459-0029",
            "fax_number": "570-454-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLER",
        "first_name": "CARLA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD061434L",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "82703",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0029723",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA066807000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.