Individual provider Active NPI

Moran Maurine S. Shmulewich Shalev, MD

  • Obstetrics & Gynecology Physician
  • Marlboro, NJ
National Provider Identifier
1508094970
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09521500 Issued in NJ
Practice address
479 Highway 520 Ste A202
Marlboro, NJ 07746-1087
Phone
(732) 837-1130
Fax
(732) 834-0142
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09521500 NJ Primary

Addresses

Primary practice location

479 Highway 520 Ste A202
Marlboro, NJ 07746-1087

Mailing address

PO Box 416457
Boston, MA 02241-1682
Phone (844) 362-1735

Other practice location 1

319 US Highway 130 Ste 29D
East Windsor, NJ 08520-2735
Phone (609) 607-6600

Other practice location 2

161 Bartley Rd Ste 101
Jackson, NJ 08527-1241
Phone (732) 837-1130

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
I20141009001775 NJ Practitioner - Obstetrics/Gynecology 6305066523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

479 Route 520
Suite A202 Atlantic Medical Group
Marlboro, NJ 07746
Phone (732) 837-1130

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Obstetrics & Gynecology CurrentSince Jun 22, 2021 Accepting new patients
Centrastate Specialists, P.C. CurrentSince Feb 1, 2021 Accepting new patients

Locations

319 US Highway 130
Ste 29D
East Windsor, NJ 08520
Phone (609) 607-6600

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

161 Bartley Rd
Ste 101
Jackson, NJ 08527
Phone (732) 837-1130

479 Highway 520
Ste A202
Marlboro, NJ 07746
Phone (732) 837-1130

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

Interoperability endpoints

  • Direct secure messaging: mshmulewichshalev409117@direct.ahsys.org

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1508094970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411682",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 HIGHWAY 520 STE A202",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461087",
            "telephone_number": "732-837-1130",
            "fax_number": "732-834-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 US Highway 130 Ste 29D",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "NJ",
            "postal_code": "085202735",
            "country_code": "US",
            "telephone_number": "609-607-6600",
            "fax_number": "609-371-0346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Bartley Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085271241",
            "country_code": "US",
            "telephone_number": "732-837-1130",
            "fax_number": "732-363-5392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHMULEWICH SHALEV",
        "first_name": "MORAN MAURINE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09521500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.