Active NPI
Roger Alan Shell, MD
- Cardiovascular Disease Physician
- East Brunswick, NJ
National Provider Identifier
1518927425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA03613200
- Practice address
- 593 Cranbury Road
East Brunswick, NJ 08816 - Phone
- (732) 390-3333
- Fax
- (732) 257-5432
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA03613200 | NJ | Primary |
Addresses
Primary practice location
593 Cranbury Road
East Brunswick, NJ 08816
Mailing address
593 Cranbury Road
East Brunswick, NJ 08816
Phone (732) 390-3333
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03613200 | NJ | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1518927425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 CRANBURY ROAD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-3333",
"fax_number": "732-257-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 CRANBURY ROAD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "732-390-3333",
"fax_number": "732-257-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELL",
"first_name": "ROGER",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA03613200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.