Active NPI
Jerry Sheen
- Infectious Disease Physician
- Hillsborough, NJ
National Provider Identifier
1851344915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25MAO7856000
- Practice address
- 105 Raider Blvd
Ste. 101
Hillsborough, NJ 08844-1528 - Phone
- (908) 281-0221
- Fax
- (908) 281-0890
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25MAO7856000 | NJ | Primary |
Addresses
Primary practice location
105 Raider Blvd
Ste. 101
Hillsborough, NJ 08844-1528
Mailing address
105 Raider Blvd
Ste. 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131440 | Medicaid | NJ |
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
- Infectious Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Raider Blvd
Suite 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Saint Peter's University Hospital
- Robert Wood Johnson University Hospital - Somerset
- Robert Wood Johnson University Hospital
- University Medical Center of Princeton at Plainsboro
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 49.12
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 659 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO7856000 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Care LLC | Infectious Disease | Current | Accepting new patients |
| Vibrant Nutrition & Wellness, LLC | Past | Accepting new patients |
Locations
400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818
105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221
10 Forrestal Rd S
Ste 203
Princeton, NJ 08540
Phone (609) 759-2750
49 Veronica Ave
Ste 102
Somerset, NJ 08873
Phone (732) 729-0920
Interoperability endpoints
- jsheen59195@epicdirect.rwjbh.org
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.
-
- Infectious Disease Physician
- Hillsborough, NJ
- NPI 1639146277
-
- Specialist
- Flemington, NJ
- NPI 1063856813
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cranford, NJ
- NPI 1043052517
-
dba Penn Medicine Princeton Medical Center
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
-
dba Robert Wood Johnson University Hospital Somerset
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1851344915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RAIDER BLVD",
"address_2": "STE. 101",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441528",
"telephone_number": "908-281-0221",
"fax_number": "908-281-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RAIDER BLVD",
"address_2": "STE. 101",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088441528",
"telephone_number": "908-281-0221",
"fax_number": "908-281-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEN",
"first_name": "JERRY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MAO7856000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131440",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.