Shore Infusion LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

SHORE INFUSION LLC

Practice address

252 Broad St Ste 4
Red Bank, NJ 07701-2012

Phone

(732) 788-8435

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Novak, DO

Title

Owner

Phone

(732) 788-8435

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1720657398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BROAD ST STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BROAD ST STE 4",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012012",
            "telephone_number": "732-788-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-788-8435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "252 Broad St Ste 4",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077012012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carole A Sherrod Jewell, DMD
• Danielle K Sherwin
• Jennifer Shields, M.ED, NCC, LPC
• Kyun Shin, M. D.
• Mijee Shin, M.S. LMFT
• Shore Pediatric Dental Group
• Carlene Christie Shorey
• Shupe Dental LLC
• Adam Shupe, DDS
• Peter Joseph Shupper, MD

• Infusion Therapy Clinic/Center in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Infusion Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.