Individual provider Active NPI

Lynne Tobie Sheldon, D.O.

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1942525530
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB03626900 Issued in NJ
Practice address
100 Springdale Rd
A-3 #116
Cherry Hill, NJ 08003-3300
Phone
(609) 923-0799
Fax
(856) 489-6451
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB03626900 NJ Primary

Addresses

Primary practice location

100 Springdale Rd
A-3 #116
Cherry Hill, NJ 08003-3300

Mailing address

100 Springdale Rd
A-3 #116
Cherry Hill, NJ 08003-3300
Phone (609) 923-0799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB03626900NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1942525530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD",
            "address_2": "A-3 #116",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033300",
            "telephone_number": "609-923-0799",
            "fax_number": "856-489-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD",
            "address_2": "A-3 #116",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033300",
            "telephone_number": "609-923-0799",
            "fax_number": "856-489-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "LYNNE",
        "middle_name": "TOBIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03626900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.