Active NPI
Paul Russell Kershaw, M.D., F.A.A.N.
- Neurology Physician
- Hopewell, NJ
National Provider Identifier
1518035948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 184571
- Practice address
- 185 Van Dyke Rd
Hopewell, NJ 08525-2913 - Phone
- (609) 333-0501
- Fax
- (609) 333-0502
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 184571 | NY | Primary |
Addresses
Primary practice location
185 Van Dyke Rd
Hopewell, NJ 08525-2913
Mailing address
185 Van Dyke Rd
Hopewell, NJ 08525-2913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184571 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518035948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 VAN DYKE RD",
"city": "HOPEWELL",
"state": "NJ",
"postal_code": "085252913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 VAN DYKE RD",
"city": "HOPEWELL",
"state": "NJ",
"postal_code": "085252913",
"telephone_number": "609-333-0501",
"fax_number": "609-333-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHAW",
"first_name": "PAUL",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "184571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.