Stephen John Shroyer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04074500 Issued in NJ

Practice address

1420 1/2 Schoolhouse Rd
Wall Township, NJ 07753-7010

Phone

(732) 280-0660

Fax

(732) 681-1264

NPI assigned

Jun 21, 2006

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1588600340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 1/2 SCHOOLHOUSE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077537010",
            "telephone_number": "732-280-0660",
            "fax_number": "732-681-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 1/2 SCHOOLHOUSE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077537010",
            "telephone_number": "732-280-0660",
            "fax_number": "732-681-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04074500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46445385D",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524909-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Sedlacek
• Maria J Serrano
• Anil K Sharma, M.D.
• Shannon Sheedy, M.S., CCC-SLP
• Matthew Warren Sheprow, PH.D.
• Leilani Shucai, RBT
• Donna Marie Simon, LCSW, BCBA
• Mandy Singer, RBT
• Saarang Singh, MD
• Kierra Snell, RBT

• Pediatrics Physician in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.