Individual provider Active NPI

Shawn Shih, MD

  • Dermatology Physician
  • Rutherford, NJ
National Provider Identifier
1750840807
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA12677200 Issued in NJ
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

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 8224399530, 5 clinicians

Practice addresses (Care Compare)

75 Orient Way
Suite 204
Rutherford, NJ 07070-2086
Phone (201) 623-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions54
Removal or shaving of skin growth29
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12677200NJMDDermatology Physician
322757NYMDDermatology Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Goldman Dermatology, PLLC CurrentSince May 2, 2024 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 8, 2025 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 8, 2025 Accepting new patients
Bobby Buka, M.D., P.C. Dermatology CurrentSince Dec 1, 2024 Accepting new patients
Geria Dermatology LLC Dermatology CurrentSince Jul 15, 2025 Accepting new patients
Tono Medical Services PC Dermatology Past Accepting new patients
Tono Medical Services P.C. Dermatology PastSince Aug 25, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.