Active NPI
Daniel Alan Shaw, MD
- Orthopaedic Surgery Physician
- Westfield, NJ
National Provider Identifier
1891789731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25MA06274400
- Practice address
- 541 E Broad St
Westfield, NJ 07090-2107 - Phone
- (908) 232-3879
- Fax
- (908) 232-5789
- NPI assigned
- Sep 7, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA06274400 | NJ | Primary |
Addresses
Primary practice location
541 E Broad St
Westfield, NJ 07090-2107
Mailing address
541 E Broad St
Westfield, NJ 07090-2107
Phone (908) 232-3879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172200001 | Other | DMERC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040224000660 | NJ | Practitioner - Orthopedic Surgery | 4385545979 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
541 E Broad St
Westfield, NJ 07090-2107
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06274400 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westfield Orthopedic Group | Orthopaedic Surgery | Current | Accepting new patients |
Locations
541 E Broad St
Westfield, NJ 07090
Phone (908) 232-3878
Organizations & group practices 1
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": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1891789731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 E BROAD ST",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902107",
"telephone_number": "908-232-3879",
"fax_number": "908-232-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 E BROAD ST",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902107",
"telephone_number": "908-232-3879",
"fax_number": "908-232-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DANIEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA06274400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0172200001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.