NPIMap

Individual provider Active NPI

Michael Kenneth Shindle, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wayne, NJ
National Provider Identifier
1952578627
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA08733700 Issued in NJ
Practice address
504 Valley Rd Ste 200
Wayne, NJ 07470-3534
Phone
(973) 694-2690
Fax
(973) 694-2692
NPI assigned
May 13, 2008
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA08733700 NJ Primary

Addresses

Primary practice location

504 Valley Rd Ste 200
Wayne, NJ 07470-3534

Mailing address

504 Valley Rd Ste 200
Wayne, NJ 07470-3534
Phone (973) 694-2690

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
I20110207000784 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5890811335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Orthopedics Spine and Sports Medicine NJ LLCGroup PAC ID 5890280259, 3 clinicians

Practice addresses (Care Compare)

16 E 29TH St
FL 2
Bayonne, NJ 07002-4603
Phone (201) 971-7070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Apr 1, 2025 Accepting new patients
New Jersey Orthopaedic Institute, LLC Sports Medicine CurrentSince Jan 16, 2023 Accepting new patients
Total Orthopedics Spine and Sports Medicine NJ LLC CurrentSince Oct 9, 2025 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC Past Accepting new patients

Locations

16 E 29th St
Fl 2
Bayonne, NJ 07002
Phone (201) 971-7070

16 E 29th St
Ste 2
Bayonne, NJ 07002

504 Valley Rd
Ste 200
Wayne, NJ 07470
Phone (973) 694-2690

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76551
  • Direct secure messaging: mshindle510046@direct.ahsys.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1952578627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD STE 200",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-694-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VALLEY RD STE 200",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703534",
            "telephone_number": "973-694-2690",
            "fax_number": "973-694-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDLE",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA08733700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.