NPIMap

Individual provider Active NPI

Shana S Shoulson, MD

  • Family Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1992807945
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06419500 Issued in NJ
Practice address
24 Stelton Rd Ste a
Piscataway, NJ 08854-2639
Phone
(732) 424-0440
Fax
(732) 424-0443
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06419500 NJ Primary

Addresses

Primary practice location

24 Stelton Rd Ste a
Piscataway, NJ 08854-2639

Mailing address

436 Cedar Ave
Highland Park, NJ 08904-2146
Phone (732) 745-5992

Other identifiers 1

IdentifierTypeStateIssuer
0072761MedicaidNJ

Other names 1

  • Shana Kaye Former name

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
I20051109000002 NJ Practitioner - Family Practice 7012934698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

24 Stelton Rd
Suite a
Piscataway, NJ 08854-2668
Phone (732) 424-0440

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06419500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 24, 2012 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Rwjbh Primary Care Services Family Medicine CurrentSince May 29, 2021 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 24, 2012 Accepting new patients
Shoulson & Associates Family Practice Family Medicine PastSince Jun 25, 2003 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

24 Stelton Rd
Ste A
Piscataway, NJ 08854
Phone (732) 395-1282

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: sshoulson15083@epicdirect.rwjbh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1992807945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CEDAR AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042146",
            "telephone_number": "732-745-5992",
            "fax_number": "732-673-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STELTON RD STE A",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-424-0440",
            "fax_number": "732-424-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULSON",
        "first_name": "SHANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06419500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072761",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.