Organization Active NPI

Shatkin Cardiology, LLC

  • Specialist
  • Wildwood Crest, NJ
National Provider Identifier
1457575540
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA52095 Issued in NJ
Legal business name
SHATKIN CARDIOLOGY, LLC
Practice address
9901 Seapointe Blvd
Wildwood Crest, NJ 08260-6203
Phone
(609) 774-5372
NPI assigned
Apr 12, 2007
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Bennett Shatkin, MDNPI 1336146695
Title
Physician
Phone
(609) 774-5372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA52095 NJ Primary

Addresses

Primary practice location

9901 Seapointe Blvd
Wildwood Crest, NJ 08260-6203

Mailing address

6083 Wildcat Run
West Palm Beach, FL 33412-3006
Phone (609) 774-5372

National Provider Directory

National Provider Directory

Locations

1051 W Sherman Ave
Ste 3A
Vineland, NJ 08360
Phone (856) 691-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1457575540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6083 WILDCAT RUN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123006",
            "telephone_number": "609-774-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 SEAPOINTE BLVD",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082606203",
            "telephone_number": "609-774-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATKIN CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "SHATKIN",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-774-5372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA52095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood Crest, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.