Individual provider Active NPI

Adam Shoman, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Hoboken, NJ
National Provider Identifier
1316987670
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
25MA07463800 Issued in NJ
Practice address
104 Hudson St Ste 2
Hoboken, NJ 07030-5795
Phone
(201) 342-7002
Fax
(201) 342-7055
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q9906 TX
Gynecology Physician 207VG0400X Q9906 TX
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 25MA07463800 NJ Primary

Addresses

Primary practice location

104 Hudson St Ste 2
Hoboken, NJ 07030-5795

Mailing address

104 Hudson St Ste 2
Hoboken, NJ 07030-5795
Phone (201) 342-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031117000764 NJ Practitioner - Obstetrics/Gynecology 5597679274 Reassigns benefits to 1 organization
Practice locations: Hasbrouck Heights, NJ
I20240328000830 TX Practitioner - Obstetrics/Gynecology 5597679274

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Elite OBGYN Professional Corporation Obstetrics & Gynecology CurrentSince Mar 1, 2013 Accepting new patients
Hackensack Center for Minimally Invasive Gynecologic Surgery, PC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Apr 13, 2025 Accepting new patients
North Texas - Mca LLC Past Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

155 Polifly Rd
Ste 207
Hackensack, NJ 07601
Phone (201) 489-1991

777 Terrace Ave
Ste 302
Hasbrouck Heights, NJ 07604
Phone (201) 342-7002

104 Hudson St
Ste A2
Hoboken, NJ 07030
Phone (201) 342-7002

104 Hudson St
Ste C2
Hoboken, NJ 07030

104 Hudson St
Ste 2
Hoboken, NJ 07030
Phone (201) 342-7002

Interoperability endpoints

  • Direct secure messaging: adam.shoman.1@21175.direct.athenahealth.com
  • Direct secure messaging: adam.shoman@direct.hobokenumc.md
  • FHIR API: https://api.platform.athenahealth.com/21175/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1316987670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HUDSON ST STE 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305795",
            "telephone_number": "201-342-7002",
            "fax_number": "201-342-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HUDSON ST STE 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305795",
            "telephone_number": "201-342-7002",
            "fax_number": "201-342-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMAN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q9906",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "Q9906",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": "25MA07463800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.