Amy L Shute, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04848800 Issued in NJ

Practice address

302 Towne Centre Drive
Hillsborough, NJ 08844

Phone

(908) 359-8613

Fax

(732) 463-6060

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashute15085@epicdirect.rwjbh.org

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1700969532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TOWNE CENTRE DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-359-8613",
            "fax_number": "732-463-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 TOWNE CENTRE DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-359-8613",
            "fax_number": "732-463-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTE",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04848800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shi-II Hillsborough, LLC
• Kimberly L Shiff, LPC
• SHK PT LLC
• Sofya Shlafman, AUD., CCC-A. FAAA
• Neil Shusterman, D.D.S.
• Corinne Marie Sicola, DPT
• Khurram M Siddiqui, DMD
• Steven Nicholas Sireci Jr., M.D.
• Melissa Sitrin, PT
• William Slotter, DPM

• Family Medicine Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.