Caroline Ann Shubeck, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05890300 Issued in NJ

Practice address

190 Park Ave
St. Anne Villa
Florham Park, NJ 07932-1049

Phone

(973) 867-1520

NPI assigned

Oct 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1508956905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WESTON AVE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282256",
            "telephone_number": "973-635-6354",
            "fax_number": "973-701-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "address_2": "ST. ANNE VILLA",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-867-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBECK",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05890300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Shi
• Yue Shi
• Short Hills Pediatrics, Inc.
• Sneha Shrestha
• Yekaterina Shteyn, O.D.
• Kevin Michael Shubow, ATC, LAT
• Emaad Siddiqui, MD
• Gerald G Siegel, PH.D.
• Sheera Karch Siegel, M.D.
• James Lawrence Silverman, D.M.D., M.A.G.D.

• Internal Medicine Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.