Kanika Shanker, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

25MA10684900 Issued in NJ

Practice address

55 Madison Ave FL 2
Morristown, NJ 07960-7337

Phone

(973) 971-4340

Fax

(973) 290-7367

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kanika Shanker Lnu Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  Pediatrics

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1265775332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE FL 2",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607337",
            "telephone_number": "973-971-4340",
            "fax_number": "973-290-7367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Overlook Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013580",
            "country_code": "US",
            "telephone_number": "973-971-4340",
            "fax_number": "973-290-7367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Hamburg Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705243",
            "country_code": "US",
            "telephone_number": "973-971-4340",
            "fax_number": "973-290-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKER",
        "first_name": "KANIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD457622",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "MD457622",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA10684900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103115201",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANIKA SHANKER",
            "last_name": "LNU",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vishva Shah
• Hamna Shahbaz, MD
• Gannat Shalan, DO
• Zoey Shalita-Keinan, LPC
• Elias Shamoun, MD, MA
• Mark Shapiro, M.D.
• Khalida Sharafi, MD
• Nazly M Shariati, MD
• Anamika Rai Sharma, M.D.
• Keerti Sharma, M.D.

• Pediatric Endocrinology Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Pediatric Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.