Individual provider Active NPI

Brian L Shaffer, MD

  • Internal Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1447247689
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05504600 Issued in NJ
Practice address
133 Franklin Corner Rd
2ND FL
Lawrenceville, NJ 08648-2531
Phone
(609) 436-5900
Fax
(609) 452-0222
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05504600 NJ Primary

Addresses

Primary practice location

133 Franklin Corner Rd
2ND FL
Lawrenceville, NJ 08648-2531

Mailing address

133 Franklin Corner Rd
2ND FL
Lawrenceville, NJ 08648-2531
Phone (609) 436-5900

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
I20050712000674 NJ Practitioner - Internal Medicine 8729030853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Ewing St Building a
Suite A8 Center for Primary Care Medicine
Princeton, NJ 08540-2735
Phone (609) 436-5900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05504600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Apr 27, 2015 Accepting new patients

Locations

2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1447247689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "address_2": "2ND FL",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-436-5900",
            "fax_number": "609-452-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "address_2": "2ND FL",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-436-5900",
            "fax_number": "609-452-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05504600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.