Active NPI
Scott R Shrem, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Hazlet, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00302900
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6460460001 | Other | NJ | MEDICARE DME PTAN |
| 0436780 | Medicaid | NJ |
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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1266 |
| Removal or shaving of skin growth | 778 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Foot & Ankle Center, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
226 Middle Rd
Ste 7
Hazlet, NJ 07730
Phone (732) 264-3668
Interoperability endpoints
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Hazlet, NJ
- NPI 1578839866
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Holmdel, NJ
- NPI 1740907336
Hospital
-
dba Bayshore Community Hospital
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.