Renee Schellhardt

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00176400 Issued in NJ

Practice address

175 Madison Ave
Mount Holly, NJ 08060-2038

Phone

(609) 261-7046

Fax

(609) 914-6067

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Lerro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• South Jersey Emergency Physicians, PA

  • Emergency Medicine Physician
  • Mount Holly, NJ
  • NPI 1023063880
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1881891091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-261-7046",
            "fax_number": "609-914-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-261-7046",
            "fax_number": "609-914-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLHARDT",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00176400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LERRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Salvatore, MD
• Sahara Sampson-Dorsch
• Yanira Erlyn Sanchez
• Barbara Savar, CRNA
• Harsimar Sawhney
• Samuel Aryeh Schiff, MD
• Kristen Schonewolf
• Joshua J Schwartz, MD
• Robin Yuter Schwartz, RPH
• Diana L Scott, MD

• Medical Physician Assistant in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.