NPIMap

Individual provider Active NPI

Maurice Saunders Sheetz, M.D., C.C.D.

  • Pulmonary Disease Physician
  • Vineland, NJ
National Provider Identifier
1902832157
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA49611 Issued in NJ
Practice address
1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916
Phone
(856) 462-6250
Fax
(856) 691-8325
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA49611 NJ Primary

Addresses

Primary practice location

1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916

Mailing address

1206 W Sherman Ave
Building 1
Vineland, NJ 08360-6916
Phone (856) 462-6250

Other identifiers 1

IdentifierTypeStateIssuer
3611205MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000868 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1456302207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783

1676 E Landis Ave
Vineland, NJ 08361-2943
Phone (856) 696-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA49611NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Health Connections PC CurrentSince May 30, 2020 Accepting new patients
Tri-County Health Connections PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136

1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bishop McCarthy Center for Rehabilitation & HealthcareVineland, NJ, CCN 315126 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2015
Dec 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1902832157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606916",
            "telephone_number": "856-462-6250",
            "fax_number": "856-691-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606916",
            "telephone_number": "856-462-6250",
            "fax_number": "856-691-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETZ",
        "first_name": "MAURICE",
        "middle_name": "SAUNDERS",
        "name_prefix": "Dr.",
        "credential": "M.D., C.C.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA49611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3611205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.