Individual provider Active NPI

Scott R Shrem, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
National Provider Identifier
1790925337
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00302900 Issued in NJ
Practice address
226 Middle Rd
Suite 7
Hazlet, NJ 07730-1945
Phone
(732) 264-3668
NPI assigned
Feb 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00302900 NJ Primary

Addresses

Primary practice location

226 Middle Rd
Suite 7
Hazlet, NJ 07730-1945

Mailing address

226 Middle Rd Ste 7
Hazlet, NJ 07730-1946
Phone (732) 264-3668

Other identifiers 2

IdentifierTypeStateIssuer
6460460001OtherNJMEDICARE DME PTAN
0436780MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000751 NJ Practitioner - Podiatry 6103011994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

226 Middle Rd
Suite 7
Hazlet, NJ 07730-1946
Phone (732) 547-9124

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions18
Removal of nail tissue1266
Removal or shaving of skin growth778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Foot & Ankle Center, LLC Foot & Ankle Surgery CurrentSince Jun 1, 2012 Accepting new patients

Locations

226 Middle Rd
Ste 7
Hazlet, NJ 07730
Phone (732) 264-3668

Interoperability endpoints

  • Direct secure messaging: buniondoc7@gsfac.directmedgenehr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1790925337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD STE 7",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301946",
            "telephone_number": "732-264-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MIDDLE RD",
            "address_2": "SUITE 7",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301945",
            "telephone_number": "732-264-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREM",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00302900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "6460460001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436780",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.