Individual provider Active NPI

Daniel Earl Shufler, MD

  • Gastroenterology Physician
  • Pennsville, NJ
National Provider Identifier
1598731085
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA045960 Issued in NJ
Practice address
48 North Broadway
Suite D
Pennsville, NJ 08070
Phone
(856) 678-5252
Fax
(856) 678-2333
NPI assigned
Feb 24, 2006
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA045960 NJ Primary

Addresses

Primary practice location

48 North Broadway
Suite D
Pennsville, NJ 08070

Mailing address

48 North Broadway
Suite D
Pennsville, NJ 08070
Phone (856) 678-5252

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100520000279 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 1759410392 Reassigns benefits to 1 organization
Practice locations: Pennsville, NJ

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Care of South JerseyGroup PAC ID 8820389257, 8 clinicians

Practice addresses (Care Compare)

310 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.82 of 100Reported as individual
Quality
33.33
Improvement activities
0
Cost
95.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA045960NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care of South Jersey CurrentSince Dec 1, 2024 Accepting new patients

Locations

4 Bypass Rd
Ste 104
Salem, NJ 08079
Phone (856) 887-3005

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1598731085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NORTH BROADWAY",
            "address_2": "SUITE D",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "856-678-5252",
            "fax_number": "856-678-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NORTH BROADWAY",
            "address_2": "SUITE D",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "08070",
            "telephone_number": "856-678-5252",
            "fax_number": "856-678-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFLER",
        "first_name": "DANIEL",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA045960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

Verify at the official NPI Registry.