Andrew Scott Shalit, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02016000 Issued in NJ

Practice address

1376 Naamans Creek Rd
Garnet Valley, PA 19060-1608

Phone

(610) 459-5859

Fax

(610) 485-1782

NPI assigned

Mar 14, 2007

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Betheldental Associates, LLC

  • Dentist
  • Garnet Valley, PA
  • NPI 1801126677
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1558494963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALLISON LN",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434111",
            "telephone_number": "856-424-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 NAAMANS CREEK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601608",
            "telephone_number": "610-459-5859",
            "fax_number": "610-485-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALIT",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-027736L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02016000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primbio Research Institute LLC
• Pro Medical East LLC
• John P Rodzvilla, M.D.
• Erica Lynn Roselli, COTA/L
• Christian Rudawsky
• Lawrence Shor, M.D.
• Dawn Sindoni
• Stephanie Soto, D.C.
• Frank Joseph Strobl, MD, PHD
• Wamiq Sultan, MD

• General Practice Dentistry in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.