Shivani Adhyaru
Individual provider Active NPI Emergency Medicine Physician · Morristown, NJ
NPI 1447754445 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1447754445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- P19-00010 (NJ)
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5000
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rowan University School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morristown Emergency Medical Associates LLC
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (954) 939-5000
Hospital & facility affiliations
- Morristown Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210721004216 | NJ | Practitioner - Emergency Medicine | 9133522683 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19-00010 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Emergency Medical Associates LLC | Emergency Medicine | Current |
Accepting new patients |
| Morristown Emergency Medical Associates LLC | Emergency Medicine | Current |
Accepting new patients |
| Hackettstown Emergency Medical Associates LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
175 High St
Newton, NJ 07860
Phone (973) 383-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | P19-00010 | NJ | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
100 Madison Ave
Morristown, NJ 07960-6136
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shivani.adhyaru@atlantichealth.org |
Other providers in Morristown, NJ
- Nadira Khalia Adams
- Lara Addesso
- Clare Bush Addis
- Raksha Adhikari
- Akshitha Adhiyaman
- Kenneth R Adler
- Adult & Pediatric Urology Group PA
- Advanced Learning & DDB Productions
- Advanced Learning & DDB Productions
- Advanced Musculoskeletal Centers PA
All providers in Morristown, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.