Individual provider Active NPI

Shaun Rowe, PA-C

  • Physician Assistant
  • Woodbury, NJ
National Provider Identifier
1841689262
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00358100 Issued in NJ
Practice address
414 Tatum St
Woodbury, NJ 08096-3499
Phone
(856) 848-3880
Fax
(856) 848-4895
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00358100 NJ Primary

Addresses

Primary practice location

414 Tatum St
Woodbury, NJ 08096-3499

Mailing address

414 Tatum St
Woodbury, NJ 08096-3499
Phone (856) 848-3880

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000068 NJ Practitioner - Physician Assistant 8921325192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438

900 Centennial Blvd
Voorhees, NJ 08043-4637

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00358100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Centers PA CurrentSince Jan 26, 2015 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jul 15, 2016 Accepting new patients

Locations

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Ste 104A
Camden, NJ 08103
Phone (856) 546-8525

3 Cooper Plz
Rm 408
Camden, NJ 08103
Phone (856) 342-3162

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

401 Kings Hwy S
Ste 3A
Cherry Hill, NJ 08034
Phone (609) 795-7951

1878 Route 70 E
Ste 5
Cherry Hill, NJ 08003
Phone (856) 375-2440

2339 Route 70 W
Ste 200
Cherry Hill, NJ 08002
Phone (856) 751-6464

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674

297 Westwood Dr
Ste 107
West Deptford, NJ 08096
Phone (856) 848-3880

509 N Broad St
Ste 104
Woodbury, NJ 08096
Phone (609) 784-5581

414 Tatum St
Woodbury, NJ 08096
Phone (856) 845-5888

Interoperability endpoints

  • Direct secure messaging: srowe51012@direct.cooperhealth.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1841689262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TATUM ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963499",
            "telephone_number": "856-848-3880",
            "fax_number": "856-848-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TATUM ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963499",
            "telephone_number": "856-848-3880",
            "fax_number": "856-848-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "SHAUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00358100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.