Organization Active NPI

Dr. Arnold Shapiro PA

  • Medical Specialty Clinic/Center
  • Egg Harbor City, NJ
National Provider Identifier
1306961081
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
27OA00304000 Issued in NJ
Legal business name
DR. ARNOLD SHAPIRO PA
Practice address
15N Vienna Ave
Egg Harbor City, NJ 08215-3246
Phone
(843) 860-2644
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Arnold Shapiro, PANPI 1386620334
Title
President
Phone
(843) 860-2644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 27OA00304000 NJ Primary

Addresses

Primary practice location

15N Vienna Ave
Egg Harbor City, NJ 08215-3246

Mailing address

15 N Vienna Ave
Egg Harbor City, NJ 08215-3246
Phone (843) 860-2644

Other identifiers 3

IdentifierTypeStateIssuer
1306961082OtherNJNPI
27TO00012000OtherNJNEW JERSEY
27OA00304000OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150121001426 NJ Part B Supplier - Clinic/Group Practice 9739355504 Receives reassigned benefits from 1 practitioner
Practice locations: Egg Harbor City, NJ; Pleasantville, NJ; Little Egg Harbor TWP, NJ

National Provider Directory

National Provider Directory

Locations

1025 Black Horse Pike
Pleasantville, NJ 08232
Phone (609) 485-0130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1306961081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N VIENNA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153246",
            "telephone_number": "843-860-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15N VIENNA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153246",
            "telephone_number": "843-860-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ARNOLD SHAPIRO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-860-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "27OA00304000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306961082",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY",
            "identifier": "27TO00012000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27OA00304000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.