Active NPI
Jack W Shilling, MD
- Orthopaedic Surgery Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25MA09602700
- Practice address
- 900 Centennial Blvd Ste 203
Voorhees, NJ 08043-4637 - Phone
- (856) 325-6677
- NPI assigned
- Feb 16, 2006
- Last updated
- Feb 4, 2020
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD067966L | PA | |
| Orthopaedic Surgery Physician | 207X00000X | 25MA09602700 | NJ | Primary |
Addresses
Primary practice location
900 Centennial Blvd Ste 203
Voorhees, NJ 08043-4637
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other practice location 1
5501 Old York Rd Willowcrest Bldg
Albert Einstein Medical Center
Philadelphia, PA 19141
Phone (215) 456-7900
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 Compare- Specialty
- Orthopedic Surgery
- Education
- Hahnemann University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Bayada at Inspira, Home Health and Hospice
- Cooper University Hospital
- West Jersey Hospital
- Inspira Medical Center Vineland
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.23 of 100
- Quality
- 77.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 15 |
| Knee replacement | 26 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09602700 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Surgical Associates, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Cooper Surgical Associates, PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2270
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
215 N Main St
Cape May Court House, NJ 08210
Phone (609) 463-2273
401 Kings Hwy S
Ste 3A
Cherry Hill, NJ 08034
Phone (609) 795-7951
400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000
900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Interoperability endpoints
- jshilling41656@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
dba BAYADA at Inspira, Home Health and Hospice
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
-
dba BAYADA at Inspira, Home Health and Hospice
- Home Health Agency
- Millville, NJ
- NPI 1710340575
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1992779763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CENTENNIAL BLVD STE 203",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434637",
"telephone_number": "856-325-6677"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd Willowcrest Bldg",
"address_2": "Albert Einstein Medical Center",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19141",
"country_code": "US",
"telephone_number": "215-456-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHILLING",
"first_name": "JACK",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD067966L",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA09602700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.