Individual provider Active NPI

Lori Leese-Shinske

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1609194075
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NN09422400 Issued in NJ
Practice address
1 Britton PL
Suite 12
Voorhees, NJ 08043-2514
Phone
(856) 772-1880
Fax
(856) 770-0718
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NN09422400 NJ Primary

Addresses

Primary practice location

1 Britton PL
Suite 12
Voorhees, NJ 08043-2514

Mailing address

6 Sassafras Way
Medford, NJ 08055-8131
Phone (609) 206-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1609194075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SASSAFRAS WAY",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558131",
            "telephone_number": "609-206-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRITTON PL",
            "address_2": "SUITE 12",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-772-1880",
            "fax_number": "856-770-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESE-SHINSKE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NN09422400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.