Active NPI
Dr. Arnold Shapiro PA
- Medical Specialty Clinic/Center
- Egg Harbor City, NJ
National Provider Identifier
1306961081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 27OA00304000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arnold Shapiro, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306961082 | Other | NJ | NPI |
| 27TO00012000 | Other | NJ | NEW JERSEY |
| 27OA00304000 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Little Egg Harbor City, NJ
- NPI 1386620334
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.