Active NPI
Mukesh Jay Shanker, MD
- Cardiovascular Disease Physician
- Linwood, NJ
National Provider Identifier
1750376141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04670800
- Practice address
- 2106 New Rd
Ste E-4
Linwood, NJ 08221-1046 - Phone
- (609) 653-1611
- Fax
- (609) 653-9352
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA04670800 | NJ | Primary |
Addresses
Primary practice location
2106 New Rd
Ste E-4
Linwood, NJ 08221-1046
Mailing address
PO Box 1201
Absecon, NJ 08201-5201
Phone (609) 653-1611
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222928205 | Other | NJ | HORIZON |
| 43283 | Other | NJ | HEALTHCARE AETNA |
| 0116086000 | Other | NJ | AMERIHEALTH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Memorial Hospital | Past | Accepting new patients | |
| SMH Cardiology LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Somers Point, NJ
- NPI 1689795338
-
- Specialist
- Somers Point, NJ
- NPI 1386765097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1750376141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1201",
"city": "ABSECON",
"state": "NJ",
"postal_code": "082015201",
"telephone_number": "609-653-1611",
"fax_number": "609-653-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 NEW RD",
"address_2": "STE E-4",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211046",
"telephone_number": "609-653-1611",
"fax_number": "609-653-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKER",
"first_name": "MUKESH",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA04670800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "222928205",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE AETNA",
"identifier": "43283",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0116086000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.