Bennett S. Shenker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07724800 Issued in NJ

Practice address

111 E Main St
Maple Shade, NJ 08052-2679

Phone

(856) 779-9220

Fax

(856) 536-1440

NPI assigned

Jul 10, 2006

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rutgers New Jersey Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
• Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bshenker87983@direct.cooperhealth.edu

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.

• Cooper Family Medicine, PC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1649217175
  Medicare reassignment Care Compare group NPD
• Browne Medical, LLC

  • Urgent Care Clinic/Center
  • South Plainfield, NJ
  • NPI 1851733349
  Medicare reassignment NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1790857696
  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1023347242
  NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1912179953
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Keyport, NJ
  • NPI 1003867250
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  dba VNACJ CHC Pharmacy

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Pennsauken, NJ
  • NPI 1275580615
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1366716565
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Woodbury, NJ
  • NPI 1710284005
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1790730109
  Care Compare affiliation
• The Cooper Health System

  dba Cooper University Hospital

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1427082429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522679",
            "telephone_number": "856-779-9220",
            "fax_number": "856-536-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Main St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282579",
            "country_code": "US",
            "telephone_number": "732-294-2540",
            "fax_number": "732-294-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENKER",
        "first_name": "BENNETT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07724800",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD427700",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD427700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091499",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101491597",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Sari, ED.M., BCBA
• Nicole Francine Savidge, PHARMD
• Schuld Physical Therapy LLC
• Dean Scordilis, LPC
• Sonal Shah, RPH
• Danyel Sileo
• Eric Simpkins
• Jay Singh, MD
• Smith Apothecary Corp
• Smith Apothecary Corp (Smith Brothers Drug)

• Family Medicine Physician in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.