Individual provider Active NPI

Amy I Scheuermann, MD

  • Family Medicine Physician
  • Medford, NJ
National Provider Identifier
1801357231
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11388200 Issued in NJ
Practice address
617 Stokes Rd Ste 9
Medford, NJ 08055-3097
Phone
(609) 953-8080
Fax
(609) 953-2133
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA11388200 NJ Primary

Addresses

Primary practice location

617 Stokes Rd Ste 9
Medford, NJ 08055-3097

Mailing address

617 Stokes Rd Ste 9
Medford, NJ 08055-3097
Phone (609) 953-8080

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
I20220922000175 NJ Practitioner - Family Practice 7416332739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pineland Plaza Family Practice LLCGroup PAC ID 5799160180, 2 clinicians

Practice addresses (Care Compare)

617 Stokes Rd
Suite 9
Medford, NJ 08055-3097
Phone (609) 953-8080

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11388200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pineland Plaza Family Practice, LLC Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
Hess Bondi LLC PastSince Jul 3, 2022 Accepting new patients

Locations

617 Stokes Rd
Ste 9
Medford, NJ 08055
Phone (609) 654-3040

Organizations & group practices 2

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 1

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1801357231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 STOKES RD STE 9",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553097",
            "telephone_number": "609-953-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 STOKES RD STE 9",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553097",
            "telephone_number": "609-953-8080",
            "fax_number": "609-953-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEUERMANN",
        "first_name": "AMY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11388200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.