Active NPI
Joanna Laura Shaffer, D.O.
- Pediatrics Physician
- Marlton, NJ
National Provider Identifier
1811309271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB09948800
- Practice address
- 301 Old Marlton Pike West
Suite 1
Marlton, NJ 08053 - Phone
- (856) 988-9101
- Fax
- (856) 988-0594
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB09948800 | NJ | Primary |
| Pediatrics Physician | 208000000X | H83650 | MD | |
| Pediatrics Physician | 208000000X | OS018863 | PA | |
| Pediatrics Physician | 208000000X | C2-0012309 | DE |
Addresses
Primary practice location
301 Old Marlton Pike West
Suite 1
Marlton, NJ 08053
Mailing address
301 Old Marlton Pike West
Suite 1
Marlton, NJ 08053
Phone (856) 988-9101
Other names 1
- Dr. Joanna Laura Graeber
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401
73 Suite 320
Marlton, NJ 08053
401
73 Suite 320
Marlton, NJ 08053-3433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0012309 | DE | MD | Pediatrics Physician |
| H83650 | MD | MD | Pediatrics Physician |
| 25MB09948800 | NJ | MD | Pediatrics Physician |
| OS018863 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Radford Macfarlane MD | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Pediatrics Physician
- Wilmington, DE
- NPI 1922178920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1811309271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OLD MARLTON PIKE WEST",
"address_2": "SUITE 1",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-988-9101",
"fax_number": "856-988-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OLD MARLTON PIKE WEST",
"address_2": "SUITE 1",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-988-9101",
"fax_number": "856-988-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JOANNA",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB09948800",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "H83650",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS018863",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C2-0012309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "GRAEBER",
"middle_name": "LAURA",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.