Individual provider Active NPI

Michal R Sheps, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
National Provider Identifier
1427223106
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08950400 Issued in NJ
Practice address
1 Degraw Ave
Teaneck, NJ 07666-4000
Phone
(201) 928-0200
Fax
(201) 928-0814
NPI assigned
Apr 24, 2008
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB08950400 NJ Primary

Addresses

Primary practice location

1 Degraw Ave
Teaneck, NJ 07666-4000

Mailing address

1 Degraw Ave
Teaneck, NJ 07666-4000
Phone (201) 928-0200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000067 NJ Practitioner - Physical Medicine and Rehabilitation 2961673736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Medical Associates, PAGroup PAC ID 5799738662, 4 clinicians

Practice addresses (Care Compare)

197 Cedar LN
Suite 2
Teaneck, NJ 07666-4300
Phone (201) 928-0200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08950400NJMDPhysical Medicine & Rehabilitation Physician

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1427223106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEGRAW AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664000",
            "telephone_number": "201-928-0200",
            "fax_number": "201-928-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEGRAW AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664000",
            "telephone_number": "201-928-0200",
            "fax_number": "201-928-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPS",
        "first_name": "MICHAL",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08950400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.