Neal Adam Shore MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD021167E Issued in PA

Legal business name

NEAL ADAM SHORE MD LLC

Practice address

1062 E Lancaster Ave
Ste 9
Bryn Mawr, PA 19010-1552

Phone

(610) 527-4080

Fax

(610) 527-4083

NPI assigned

Jan 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neal Adam Shore, M.D.

Title

President

Phone

(610) 527-4080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1265412423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "STE 9",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "610-527-4080",
            "fax_number": "610-527-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "STE 9",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "610-527-4080",
            "fax_number": "610-527-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL ADAM SHORE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-527-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD021167E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS HIGHMARK PROVIDER #",
            "identifier": "147863",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Nagle, DC
• Lauren Napolitano, PSY.D.
• Alexa Christine Narzikul
• Kellyann Nast-Golas, RN,BSN
• Stephanie F Natalie, ATC
• Henry Joseph Nealis, MD
• Need to Evolve, Inc
• Katie Neer
• Amy M Neeren, PHD
• Laura Neigh, CRNP

• Psychiatry Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.