Shatkin Cardiology, LLC

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

Organization subpart

No

Name

Dr. Bennett Shatkin, MD

Title

Physician

Phone

(609) 774-5372

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2016.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0100030120",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2264673",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P379352",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4090043",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2285745000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60008152",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa J Long
• Dawn Paone, RN, APN-C
• Stacy Phillips, LPN
• Richard A Renza, DO
• Richard a Renza DO PA
• Bennett J Shatkin, MD
• Kimberly Sorensen, NP

• All providers in Wildwood Crest, NJ
• Specialist in New Jersey

• 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.