Individual provider Active NPI

Shira A Meyer, DO

  • Internal Medicine Physician
  • Marlboro, NJ
National Provider Identifier
1497799209
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08074600 Issued in NJ
Practice address
479 Route 520
Suite 101a
Marlboro, NJ 07746
Phone
(732) 780-1601
Fax
(732) 834-0438
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 25MB08074600 NJ Primary

Addresses

Primary practice location

479 Route 520
Suite 101a
Marlboro, NJ 07746

Mailing address

225 Willow Brook Rd Ste 9
Freehold, NJ 07728-5922
Phone (732) 462-9622

Other practice location 1

101 2nd St
Lakewood, NJ 08701-3324
Phone (732) 363-6655

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
I20060817000002 NJ Practitioner - Internal Medicine 9436152220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

479 Route 520
Suite 101a Atlantic Medical Group
Marlboro, NJ 07746
Phone (732) 780-1601

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Internal Medicine CurrentSince Jun 22, 2021 Accepting new patients

Locations

281 State Route 34
Ste 813
Colts Neck, NJ 07722
Phone (732) 431-2620

225 Willow Brook Rd
Ste 9
Freehold, NJ 07728
Phone (732) 462-0100

21 US Highway 9
Manalapan, NJ 07726
Phone (732) 358-4490

479 Newman Springs Rd
Ste A101
Marlboro, NJ 07746
Phone (732) 462-9622

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Interoperability endpoints

  • Direct secure messaging: shira.meyer.p1@direct.fpcs.nextgenshare.com
  • Direct secure messaging: smeyer409083@direct.ahsys.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1497799209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLOW BROOK RD STE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285922",
            "telephone_number": "732-462-9622",
            "fax_number": "732-780-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 ROUTE 520",
            "address_2": "SUITE 101A",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746",
            "telephone_number": "732-780-1601",
            "fax_number": "732-834-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 2nd St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013324",
            "country_code": "US",
            "telephone_number": "732-363-6655",
            "fax_number": "732-901-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SHIRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08074600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.