Shore Medical DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHORE MEDICAL DME

Practice address

1131 Broad St Ste 104
Shrewsbury, NJ 07702-4334

Phone

(848) 217-0065

Fax

(732) 542-4847

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Robert B Grossman, MD

Title

Owner

Phone

(848) 217-0065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1356852875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST STE 104",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024334",
            "telephone_number": "848-217-0065",
            "fax_number": "732-542-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST STE 104",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024334",
            "telephone_number": "848-217-0065",
            "fax_number": "732-542-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MEDICAL DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-217-0065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Jeffrey Sher, DMD
• Tejas Shinde, MD
• Shore Advanced Wound Care LLC
• Shore Child Counseling Inc.
• Shore Health and Wellness LLC
• Shore Medicine & Pediatrics Associates P a
• Michelle Short
• Kristen Shortell, MS, LPC, LPAT ATR-BC
• SHP VI Shrewsbury LLC
• Shrewsbury Ambulatory Anesthesia LLC

• Durable Medical Equipment & Medical Supplies in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.