Individual provider Active NPI

Ronald Howard Sheppard, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Watchung, NJ
National Provider Identifier
1679589261
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD1954 Issued in NJ
Practice address
10 Shawnee Dr
Watchung, NJ 07069-5803
Phone
(908) 769-5337
Fax
(908) 769-5347
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD1954 NJ Primary

Addresses

Primary practice location

10 Shawnee Dr
Watchung, NJ 07069-5803

Mailing address

10 Shawnee Dr
Watchung, NJ 07069-5803
Phone (908) 769-5337

Other identifiers 1

IdentifierTypeStateIssuer
5364809MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000233 NJ Practitioner - Podiatry 8820111966 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Watchung, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

10 Shawnee Dr
Watchung, NJ 07069-5803
Phone (908) 769-5337

1598 Rte
Suite 130
North Brunswick, NJ 08902-3040
Phone (732) 865-8090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue113
Removal of skin lesions32
Removal of nail tissue1522
Removal or shaving of skin growth606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Foot and Leg Cent Foot & Ankle Surgery CurrentSince Oct 31, 1989 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Oct 14, 2024 Accepting new patients
United Clinical Group NJ Foot & Ankle Surgery CurrentSince Jan 13, 2023 Accepting new patients
The Collaborative Healthcare Group of NJ Foot & Ankle Surgery CurrentSince Nov 10, 2024 Accepting new patients
Ronald Howard Sheppard D Foot & Ankle Surgery CurrentSince Jan 24, 2000 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

816 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4544

30 N Main St
Marlboro, NJ 07746
Phone (732) 303-0993

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1598 US Highway 130
North Brunswick, NJ 08902
Phone (732) 297-0603

1598 Route 130
North Brunswick, NJ 08902
Phone (732) 297-0603

53 Main St
Sayreville, NJ 08872
Phone (732) 254-6200

10 Shawnee Dr
Watchung, NJ 07069
Phone (908) 561-2269

Interoperability endpoints

  • Direct secure messaging: ronaldsheppard@sheppard.direct.emds.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1679589261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-769-5337",
            "fax_number": "908-769-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHAWNEE DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695803",
            "telephone_number": "908-769-5337",
            "fax_number": "908-769-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "RONALD",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5364809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.