Active NPI
Shawn Shih, MD
- Dermatology Physician
- Rutherford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA12677200
- Practice address
- 75 Orient Way Ste 204
Rutherford, NJ 07070-2086 - Phone
- (201) 623-8000
- Fax
- (201) 578-5160
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 322757 | NY | |
| Dermatology Physician | 207N00000X | 25MA12677200 | NJ | Primary |
Addresses
Primary practice location
75 Orient Way Ste 204
Rutherford, NJ 07070-2086
Mailing address
75 Orient Way Ste 204
Rutherford, NJ 07070-2086
Phone (201) 623-8000
Other practice location 1
214 Sullivan St
New York, NY 10012-1354
Phone (212) 385-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240507000202 | NY | Practitioner - Dermatology | 5991121550 | Reassigns benefits to 1 organization |
| I20250908003397 | NJ | Practitioner - Dermatology | 5991121550 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Univ of Central Florida, College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geria Dermatology LLC
Practice addresses (Care Compare)
75 Orient Way
Suite 204
Rutherford, NJ 07070-2086
Phone (201) 623-8000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 54 |
| Removal or shaving of skin growth | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12677200 | NJ | MD | Dermatology Physician |
| 322757 | NY | MD | Dermatology Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldman Dermatology, PLLC | Current | Accepting new patients | |
| Titan Health Partners LLC | Current | Accepting new patients | |
| Titan Health Partners LLC | Current | Accepting new patients | |
| Bobby Buka, M.D., P.C. | Dermatology | Current | Accepting new patients |
| Geria Dermatology LLC | Dermatology | Current | Accepting new patients |
| Tono Medical Services PC | Dermatology | Past | Accepting new patients |
| Tono Medical Services P.C. | Dermatology | Past | Accepting new patients |
Locations
629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555
34-36 Progress St
Ste B
Edison, NJ 08820
75 Orient Way
Ste 204
Rutherford, NJ 07070
Phone (201) 623-8000
601 Route 37 W
Ste 101
Toms River, NJ 08755
Phone (732) 240-4545
825 Bloomfield Ave
Ste 204
Verona, NJ 07044
Phone (201) 623-8000
214 Sullivan St
New York, NY 10012
150 Broadway
Rm 1110
New York, NY 10038
Phone (212) 962-1115
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAA
Organizations & group practices 7
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
- Rutherford, NJ
- NPI 1811540271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1750840807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ORIENT WAY STE 204",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702086",
"telephone_number": "201-623-8000",
"fax_number": "201-578-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ORIENT WAY STE 204",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702086",
"telephone_number": "201-623-8000",
"fax_number": "201-578-5160"
}
],
"practiceLocations": [
{
"address_1": "214 Sullivan St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100121354",
"country_code": "US",
"telephone_number": "212-385-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIH",
"first_name": "SHAWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "322757",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA12677200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.