Individual provider Active NPI

John Joseph Shelmet, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lawrenceville, NJ
National Provider Identifier
1770699480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA04251000 Issued in NJ
Practice address
3131 Princeton Pike
Building 2B Suite 104
Lawrenceville, NJ 08648-2206
Phone
(609) 896-8050
Fax
(609) 896-3053
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA04251000 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike
Building 2B Suite 104
Lawrenceville, NJ 08648-2206

Mailing address

3131 Princeton Pike
Building 2B Suite 104
Lawrenceville, NJ 08648-2206
Phone (609) 896-8050

Other identifiers 2

IdentifierTypeStateIssuer
0828142009OtherCIGNA
0045282OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130110000261 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 2264458785 Practice locations: Lawrenceville, NJ

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770699480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 2B SUITE 104",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482206",
            "telephone_number": "609-896-8050",
            "fax_number": "609-896-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 2B SUITE 104",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482206",
            "telephone_number": "609-896-8050",
            "fax_number": "609-896-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELMET",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA04251000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0828142009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0045282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.