Shore Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA44557 Issued in NJ

Legal business name

SHORE INTERNAL MEDICINE PA

Practice address

6044 Harding Hwy
Mays Landing, NJ 08330-1549

Phone

(609) 525-9146

Fax

(609) 625-7405

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Stuart Pollack, MD

Title

President

Phone

(609) 625-9146

Specialties & licenses 1

Addresses

Other names 1

• hamilton health care center Other name

Locations

Practitioners 1

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

• Arnold Saguin Bacarro, M.D.

  • Internal Medicine Physician
  • Mays Landing, NJ
  • NPI 1649259250
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1699936633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 HARDING HWY",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301549",
            "telephone_number": "609-625-9146",
            "fax_number": "609-625-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 HARDING HWY",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301549",
            "telephone_number": "609-525-9146",
            "fax_number": "609-625-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-625-9146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA44557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hamilton health care center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Setty Eyecare Corporation
• Stephanie Lauren Shapiro, OD
• Ben Shaver, LPC
• Ramish Parvez Sheikh
• Heidi Maria Shelley, LPC, LAMFT
• Jessica Elizabeth Silipigni, DC
• Simcare Medical Associates Chartered
• Simcare Surgical LTD
• Simcare Surgical LTD
• SJM Mobil Dental Care, LLC

• Internal Medicine Physician in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.