Active NPI
Shanin R Gross, D.O.
- Family Medicine Physician
- Laurel Springs, NJ
National Provider Identifier
1992749535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB07325900
- Practice address
- 1405 Chews Landing Rd Ste 21
Laurel Springs, NJ 08021-2769 - Phone
- (856) 483-4466
- Fax
- (856) 483-4467
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB07325900 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | OS011030L | PA |
Addresses
Primary practice location
1405 Chews Landing Rd Ste 21
Laurel Springs, NJ 08021-2769
Mailing address
1405 Chews Landing Rd Ste 21
Laurel Springs, NJ 08021-2769
Phone (856) 483-4466
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07325900 | NJ | MD | Family Medicine Physician |
| OS011030L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Qcare Family Medicine LLC | Family Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Jefferson University Physicians | Family Medicine | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1405 Chews Landing Rd
Ste 21
Laurel Springs, NJ 08021
Phone (856) 463-2300
Interoperability endpoints
- shanin.gross@217526021193732.direct.elationemr.com
Organizations & group practices 6
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1992749535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CHEWS LANDING RD STE 21",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212769",
"telephone_number": "856-483-4466",
"fax_number": "856-483-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CHEWS LANDING RD STE 21",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212769",
"telephone_number": "856-483-4466",
"fax_number": "856-483-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "SHANIN",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB07325900",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS011030L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel Springs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.