Active NPI
Leslie Shrem, M.D.
- Anesthesiology Physician
- Cedar Knolls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA05660000
- Practice address
- 197 Ridgedale Ave
Surgical Center at Cedar Knolls
Cedar Knolls, NJ 07927 - Phone
- (973) 292-0700
- NPI assigned
- May 24, 2005
- Last updated
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 25MA05660000 | NJ | |
| Anesthesiology Physician | 207L00000X | 25MA05660000 | NJ | Primary |
Addresses
Primary practice location
197 Ridgedale Ave
Surgical Center at Cedar Knolls
Cedar Knolls, NJ 07927
Mailing address
3 Olmsted LN
Mendham, NJ 07945-3058
Phone (973) 607-7815
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
Locations
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
197 Ridgedale Ave
Ste 100
Cedar Knolls, NJ 07927
Phone (973) 292-0700
400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
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.
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1598768442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OLMSTED LN",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079453058",
"telephone_number": "973-607-7815",
"fax_number": "973-543-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 RIDGEDALE AVE",
"address_2": "SURGICAL CENTER AT CEDAR KNOLLS",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "07927",
"telephone_number": "973-292-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREM",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NJ",
"license": "25MA05660000",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA05660000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.