Active NPI
David S Shields, MD, LLC
- Gastroenterology Physician
- Vineland, NJ
National Provider Identifier
1679657902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA55507
- Legal business name
- DAVID S SHIELDS, MD, LLC
- Practice address
- 2950 College Dr
Suite 2a
Vineland, NJ 08360 - Phone
- (856) 691-1129
- Fax
- (856) 691-1229
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David S Shields, MD
- Title
- Physician/Owner
- Phone
- (856) 691-1129
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MA55507 | NJ | Primary |
Addresses
Primary practice location
2950 College Dr
Suite 2a
Vineland, NJ 08360
Mailing address
2950 College Dr
Suite 2a
Vineland, NJ 08360
Phone (856) 691-1129
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Vineland, NJ
- NPI 1205828365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679657902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 COLLEGE DR",
"address_2": "SUITE 2A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08360",
"telephone_number": "856-691-1129",
"fax_number": "856-691-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 COLLEGE DR",
"address_2": "SUITE 2A",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08360",
"telephone_number": "856-691-1129",
"fax_number": "856-691-1229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID S SHIELDS, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "856-691-1129",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA55507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.