Individual provider Active NPI

Michelle Sheckley

  • Surgery Physician
  • Wayne, NJ
National Provider Identifier
1700348620
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA12771200 Issued in NJ
Practice address
234 Hamburg Tpke
Wayne, NJ 07470-2173
Phone
(973) 754-2000
NPI assigned
Apr 1, 2019
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 328069-01 NY
Surgery Physician 208600000X 25MA12771200 NJ Primary
Surgery Physician 208600000X MT236356 PA

Addresses

Primary practice location

234 Hamburg Tpke
Wayne, NJ 07470-2173

Mailing address

100 Harbor Blvd Apt 506N
Weehawken, NJ 07086-7590
Phone (260) 385-4216

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241003002351 NY Practitioner - General Surgery 4880125657 Reassigns benefits to 1 organization
I20251104000159 NJ Practitioner - General Surgery 4880125657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Harbor Blvd
Apt 560N
Weehawken, NJ 07086-7580

331 Newman Springs Rd
Suite 220
Red Bank, NJ 07701-5792

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12771200NJMDSurgery Physician
328069-01NYMDSurgery Physician
MT236356PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Surgery CurrentSince Aug 16, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2024 Accepting new patients
St Josephs Medical Group PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

225 Minnisink Rd
Totowa, NJ 07512
Phone (862) 657-3000

234 Hamburg Tpke
Ste 100
Wayne, NJ 07470
Phone (973) 389-5155

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1700348620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARBOR BLVD APT 506N",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070867590",
            "telephone_number": "260-385-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702173",
            "telephone_number": "973-754-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHECKLEY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "328069-01",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA12771200",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT236356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.