Individual provider Active NPI

Alan Shienbaum, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cherry Hill, NJ
National Provider Identifier
1811967904
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MB07201700 Issued in 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
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MB07201700 NJ Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100302000548 NJ Practitioner - PathologyPractitioner - Other (Physician) 1557406568 Reassigns benefits to 3 organizations
I20180906003271 PA Practitioner - Pathology 1557406568 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
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, PCGroup PAC ID 4880735125, 2 clinicians
Sovereign Medical Group LLCGroup PAC ID 1456535392, 20 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07201700NJMDCytopathology Physician
OS0088141PAMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Endoscopy Center, Inc. CurrentSince May 1, 2021 Accepting new patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Feb 1, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Nov 1, 2019 Accepting new patients
Northeast Gastroenterology Center, Inc. CurrentSince May 1, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Nov 1, 2019 Accepting new patients
Delta Medix PC CurrentSince Sep 4, 2018 Accepting new patients
Greater Hazleton Gastroenterology, P.C. CurrentSince May 1, 2021 Accepting new patients
Pathology Associates of NE PA LTD Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2018 Accepting new patients
Center for Advanced Urology CurrentSince Jun 21, 2022 Accepting new patients
Keystone Medical Laboratories, L.P. Current Accepting new patients
Sovereign Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Northeastern Gastroenterology Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA CurrentSince Feb 1, 2022 Accepting new patients
Northeast Gastroenterology Center, Inc. CurrentSince May 1, 2021 Accepting new patients
Vascular Diagnostic Center PC PastSince Sep 4, 2018 Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

85 Harristown Rd
Ste 200
Glen Rock, NJ 07452
Phone (201) 444-4526

35 Journal Sq
Ste 1105
Jersey City, NJ 07306
Phone (201) 435-2244

631 Grand St
Jersey City, NJ 07304
Phone (201) 830-2280

631 Grand St
Ste 2
Jersey City, NJ 07304
Phone (908) 522-1222

631 Grand St
Ste 21
Jersey City, NJ 07304

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

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

Interoperability endpoints

  • Direct secure messaging: drshienbaum@gastrohonesdale.medentdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1811967904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6506",
            "fax_number": "856-488-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6506",
            "fax_number": "856-488-6846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Harrisburg Pike Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012415",
            "country_code": "US",
            "telephone_number": "717-393-7328",
            "fax_number": "717-393-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIENBAUM",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MB07201700",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NJ",
            "license": "25MB07201700",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "PA",
            "license": "OS0088141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.