Individual provider Active NPI

Roger Hugh Sheinkin, D.D.S.

  • General Practice Dentistry
  • West Collingswood, NJ
National Provider Identifier
1316120249
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9087 Issued in NJ
Practice address
610 Collings Ave
West Collingswood, NJ 08107-1724
Phone
(856) 854-5848
Fax
(856) 854-6578
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9087 NJ Primary

Addresses

Primary practice location

610 Collings Ave
West Collingswood, NJ 08107-1724

Mailing address

610 Collings Ave
West Collingswood, NJ 08107-1724
Phone (856) 854-5848

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000659 NJ Order and Referring Only - DentistPractitioner - Dentist 9931426087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9087NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Collingswood Dental Assoc PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1316120249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848",
            "fax_number": "856-854-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848",
            "fax_number": "856-854-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEINKIN",
        "first_name": "ROGER",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "9087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.