NPIMap

Individual provider Active NPI

Hongxie Shen, MD

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1316107006
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD447822 Issued in PA
Practice address
401 Township Line Rd Ste B
Elkins Park, PA 19027-2202
Phone
(215) 663-8600
Fax
(215) 663-8305
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08908800 NJ
Family Medicine Physician 207Q00000X MD447822 PA Primary

Addresses

Primary practice location

401 Township Line Rd Ste B
Elkins Park, PA 19027-2202

Mailing address

401 E Township Line Road
Suite B
Elkins Park, PA 19027-2202
Phone (215) 663-8600

Other practice location 1

5 W Chestnut Ave
Merchantville, NJ 08109-2305
Phone (856) 655-9424

Other identifiers 1

IdentifierTypeStateIssuer
0289060MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000585 NJ Practitioner - Family Practice 4789844598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

100 E Main St
Tuckerton, NJ 08087-2618
Phone (609) 296-4014

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08908800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jun 12, 2021 Accepting new patients
Atlanticare Physician Group PA Family Medicine CurrentSince Jun 12, 2021 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Lourdes Medical Associates PA Family Medicine Past Accepting new patients

Locations

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316107006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E TOWNSHIP LINE ROAD",
            "address_2": "SUITE B",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-8600",
            "fax_number": "215-663-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD STE B",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-8600",
            "fax_number": "215-663-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Merchantville",
            "state": "NJ",
            "postal_code": "081092305",
            "country_code": "US",
            "telephone_number": "856-655-9424",
            "fax_number": "856-655-9426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEN",
        "first_name": "HONGXIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08908800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD447822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289060",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.