Organization Active NPI

PDG of Shrewsbury PA

Doing business as The apprehensive patient

  • Dentist
  • Shrewsbury, NJ
National Provider Identifier
1538357991
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14324 Issued in NJ
Legal business name
PDG OF SHREWSBURY PA
Doing business as
The apprehensive patient
Practice address
850 Broad St
Shrewsbury, NJ 07702-4214
Phone
(732) 741-8707
Fax
(732) 741-3421
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mrs. Terri J Shaffer
Title
Manager
Phone
(732) 741-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14324 NJ Primary

Addresses

Primary practice location

850 Broad St
Shrewsbury, NJ 07702-4214

Mailing address

850 Broad St
Shrewsbury, NJ 07702-4214
Phone (732) 741-8707

Other names 1

  • The apprehensive patient Doing business as

National Provider Directory

National Provider Directory

Locations

850 Broad St
Shrewsbury, NJ 07702
Phone (732) 741-8707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1538357991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024214",
            "telephone_number": "732-741-8707",
            "fax_number": "732-741-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024214",
            "telephone_number": "732-741-8707",
            "fax_number": "732-741-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDG OF SHREWSBURY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-741-8707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The apprehensive patient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.