Individual provider Active NPI

Leslie Shrem, M.D.

  • Anesthesiology Physician
  • Cedar Knolls, NJ
National Provider Identifier
1598768442
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA05660000 Issued in NJ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000217 NJ Practitioner - Anesthesiology 7618933409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Jan 27, 2024 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.

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

Verify at the official NPI Registry.