NPIMap

Individual provider Active NPI

Shawna Reigel, MD

  • Family Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1619900586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07683900 Issued in NJ
Practice address
110 Marter Ave
Suite 408
Moorestown, NJ 08057-3124
Phone
(856) 638-1990
Fax
(856) 583-0359
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA07683900 NJ Primary

Addresses

Primary practice location

110 Marter Ave
Suite 408
Moorestown, NJ 08057-3124

Mailing address

110 Marter Ave
Suite 408
Moorestown, NJ 08057-3124
Phone (856) 638-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000006 NJ Practitioner - Family Practice 5890708317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

121 Berkley Rd
Clarksboro, NJ 08020-1160
Phone (856) 284-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07683900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Family Medicine CurrentSince Jan 7, 2017 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Jun 1, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 7, 2017 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

121 Berkley Rd
Clarksboro, NJ 08020
Phone (856) 284-5600

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619900586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 408",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-638-1990",
            "fax_number": "856-583-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 408",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-638-1990",
            "fax_number": "856-583-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGEL",
        "first_name": "SHAWNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07683900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.