Individual provider Active NPI

Shira Sheldon, APN

  • Family Nurse Practitioner
  • Kendall Park, NJ
National Provider Identifier
1336597723
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00616500 Issued in NJ
Practice address
3270 State Route 27
Suite 1200
Kendall Park, NJ 08824-1496
Phone
(732) 422-2400
Fax
(732) 463-6087
NPI assigned
May 26, 2016
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00616500 NJ Primary

Addresses

Primary practice location

3270 State Route 27
Suite 1200
Kendall Park, NJ 08824-1496

Mailing address

3270 State Route 27
Suite 1200
Kendall Park, NJ 08824-1496
Phone (732) 422-2400

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705001390 NJ Practitioner - Nurse Practitioner 7618269002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince May 29, 2021 Accepting new patients

Locations

3270 State Route 27
Ste 1200
Kendall Park, NJ 08824
Phone (732) 422-2400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

29 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 873-0330

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1336597723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 STATE ROUTE 27",
            "address_2": "SUITE 1200",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241496",
            "telephone_number": "732-422-2400",
            "fax_number": "732-463-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 STATE ROUTE 27",
            "address_2": "SUITE 1200",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241496",
            "telephone_number": "732-422-2400",
            "fax_number": "732-463-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "SHIRA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00616500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.