Individual provider Active NPI

David Curry Shepperly, MD

  • Occupational Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1740452929
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
25MA05528900 Issued in NJ
Practice address
1 Squibb Dr
New Brunswick, NJ 08901-1588
Phone
(723) 227-5541
Fax
(732) 227-3550
NPI assigned
Mar 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 25MA05528900 NJ Primary

Addresses

Primary practice location

1 Squibb Dr
New Brunswick, NJ 08901-1588

Mailing address

1 Squibb Dr
New Brunswick, NJ 08901-1588
Phone (723) 227-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05528900NJMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1740452929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SQUIBB DR",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011588",
            "telephone_number": "723-227-5541",
            "fax_number": "732-227-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SQUIBB DR",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011588",
            "telephone_number": "723-227-5541",
            "fax_number": "732-227-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPERLY",
        "first_name": "DAVID",
        "middle_name": "CURRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "25MA05528900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.