Individual provider Active NPI

Tingliang Shen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ridgewood, NJ
National Provider Identifier
1972777894
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA07711500 Issued in NJ
Practice address
132 Kenilworth Rd
Ridgewood, NJ 07450-4605
Phone
(610) 213-4747
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA07711500 NJ Primary

Addresses

Primary practice location

132 Kenilworth Rd
Ridgewood, NJ 07450-4605

Mailing address

132 Kenilworth Rd
Ridgewood, NJ 07450-4605
Phone (610) 213-4747

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000309 NJ Practitioner - Pathology 1759453681 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Pathology Associates, LLCGroup PAC ID 3678678828, 10 clinicians

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5763

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
68.07
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Pathology Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 28, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 1, 2021 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jul 1, 2019 Accepting new patients
University Physician Associates of New Jersey Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients

Locations

1919 S Highland Ave
Ste 210
Lombard, IL 60148

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

Organizations & group practices 5

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 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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1972777894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 KENILWORTH RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504605",
            "telephone_number": "610-213-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 KENILWORTH RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504605",
            "telephone_number": "610-213-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "TINGLIANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA07711500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.