Alan Shienbaum, D.O.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Cherry Hill, NJ
NPI 1811967904 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1811967904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 25MB07201700 (NJ)
- Practice address
- 2201 Chapel Ave W
Cherry Hill, NJ 08002-2048 - Phone
- (856) 488-6506
- Fax
- (856) 488-6846
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oleg Volchonok, MD, PC
Sovereign Medical Group LLC
Dimarino Kroop Prieto Gastrointestinal Associates PA
Practice addresses (Care Compare)
11400 Bustleton Ave
Philadelphia, PA 19116-2815
Phone (215) 969-8446
14 -01 Broadway
Suite B
Fair Lawn, NJ 07410-2008
Phone (201) 855-8455
142 Palisade Ave
Suite 216
Jersey City, NJ 07306-1108
Phone (201) 435-2244
26 E Red Bank Ave
Woodbury, NJ 08096-1611
Phone (856) 848-4464
35 Journal SQ
Suite 1105
Jersey City, NJ 07306-4007
Phone (201) 435-2244
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100302000548 | NJ | Practitioner - Pathology |
1557406568 | Reassigns benefits to 3 organizations |
| I20180906003271 | PA | Practitioner - Pathology | 1557406568 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0088141 | PA | MD | Cytopathology Physician |
Practice roles
Locations
85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526
631 Grand St
Ste 21
Jersey City, NJ 07304
35 Journal Sq
Ste 1105
Jersey City, NJ 07306
Phone (201) 435-2244
631 Grand St
Ste 2
Jersey City, NJ 07304
Phone (908) 522-1222
631 Grand St
Jersey City, NJ 07304
Phone (201) 830-2280
680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869
4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453
26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464
2812 Scranton Carbondale Hwy
Blakely, PA 18447
2812 Scranton Carbondale Hwy
Ste 103
Blakely, PA 18447
Phone (570) 253-3391
781 Keystone Industrial Park Rd
Dunmore, PA 18512
Phone (570) 340-0210
10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400
1860 Fair Ave
Ste A
Honesdale, PA 18431
Phone (570) 253-3391
423 3rd Ave
Ste D
Kingston, PA 18704
Phone (570) 283-3222
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
- drshienbaum@gastrohonesdale.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MB07201700 | NJ | Yes |
| Cytopathology Physician | 207ZC0500X | 25MB07201700 | NJ | |
| Cytopathology Physician | 207ZC0500X | OS0088141 | PA |
Addresses
Primary practice location
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Mailing address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6506
Other practice location 1
2301 Harrisburg Pike Ste 201
Lancaster, PA 17601-2415
Phone (717) 393-7328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018262480014 | Medicaid | PA | |
| 8360502 | Medicaid | NJ |
Other providers in Cherry Hill, NJ
- Brian Robert Sherry
- Valerie Marie Sherwin
- Yiwen Shi
- Luke Shieh
- Antoinette Shields
- Wade D Shiley
- Marlena Shilman
- Nicole Soojin Shim
- Serena Shim
- Betty S Shimberg
All providers in Cherry Hill, NJ · Anatomic Pathology & Clinical Pathology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.