Shore Medicine & Pediatrics Associates P a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MAO7526600 Issued in NJ

Legal business name

SHORE MEDICINE & PEDIATRICS ASSOCIATES P A

Practice address

59 Avenue at the CMN Ste 105
Shrewsbury, NJ 07702-4559

Phone

(732) 544-8899

Fax

(732) 544-9888

NPI assigned

Mar 26, 2017

Last updated

Mar 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ravindran Thirunavu Rajaraman, MDNPI 1487625422

Title

Ceo

Phone

(732) 544-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravindran Thirunavu Rajaraman, M.D.

  • Internal Medicine Physician
  • Shrewsbury, NJ
  • NPI 1487625422
  Medicare reassignment NPD Authorized official
• Karna Rajaraman, MD

  • Pediatrics Physician
  • Shrewsbury, NJ
  • NPI 1346201654
  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1942731450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN STE 105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024559",
            "telephone_number": "732-544-8899",
            "fax_number": "732-544-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN STE 105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024559",
            "telephone_number": "732-544-8899",
            "fax_number": "732-544-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MEDICINE & PEDIATRICS ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "RAJARAMAN",
        "authorized_official_first_name": "RAVINDRAN",
        "authorized_official_middle_name": "THIRUNAVU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-544-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MAO7526600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I30332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tejas Shinde, MD
• Shore Advanced Wound Care LLC
• Shore Child Counseling Inc.
• Shore Health and Wellness LLC
• Shore Medical DME
• Michelle Short
• Kristen Shortell, MS, LPC, LPAT ATR-BC
• SHP VI Shrewsbury LLC (The Chelsea at Shrewsbury)
• Shrewsbury Ambulatory Anesthesia LLC
• Shrewsbury Dental Associates,PA

• Primary Care Clinic/Center in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.