Kristina Suzanne Shenk, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10108000 Issued in NJ

Practice address

333 15TH St FL 2
Hoboken, NJ 07030-3429

Phone

(201) 482-9770

NPI assigned

Mar 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tenafly Pediatrics

  • Pediatrics Physician
  • Tenafly, NJ
  • NPI 1750347647
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1821330713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 5TH AVE",
            "address_2": "KRAVIS CHILDREN'S HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "614-946-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 15TH ST FL 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303429",
            "telephone_number": "201-482-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1184 5th Ave",
            "address_2": "Kravis Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296503",
            "country_code": "US",
            "telephone_number": "614-946-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENK",
        "first_name": "KRISTINA",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10108000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajkumar Sharma, M.D.
• Sharon J. Stern D.D.S. P.C.
• Kim Eileen Sharrott, PSY.D.
• Alexandra Y Shchipkova, D.D.S
• Carli Ann Shelley, PSYD
• Jaimie Lobell Sherry, M.S., R.D. CDE, CDN
• Samantha Lee Shery, LPC
• Nina Shinway, PSY.D.
• Adam Shoman, MD
• Nadia Natasha Shung I, LMT

• Pediatrics Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.