DR. JEROME STANLEY SHENKMAN (NPI# 1477618510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477618510 |
| Entity Type | Individual |
| Full Name | DR. JEROME STANLEY SHENKMAN |
| Credential | M.D. |
| Practice Address |
103 River Rd Edgewater NJ 07020-1016 |
| Mailing Address |
11 Coles Ct River Edge NJ 07661-1001 |
| Practice Telephone | 2019454288 |
| Practice Fax Number | 2019458690 |
| Mailing Telephone | 2014895744 |
| Mailing Fax Number | 2019454288 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA03121000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA # | AS6907971 | 01 | |
| NJ | MEDICAL LICENSE # | 25MA03121000 | 01 |
| NJ | CDS# | D01924100 | 01 |
| Street Address |
103 RIVER RD |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548719 | Yaron Bareket | Internal Medicine | 103 River Rd, Edgewater, NJ 07020-1010 | 2005-06-14 |
| 1598205478 | West Coast Health and Rehabilitation LLC | Physical Medicine & Rehabilitation | 103 River Rd, Ste 101, Edgewater, NJ 07020-1016 | 2017-02-27 |
| 1114399383 | Brian Legg | Psychologist | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2015-10-27 |
| 1649648809 | Universal Medicine, LLC | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2015-09-04 |
| 1780080218 | National Health Rehabilitation LLC | Physical Medicine & Rehabilitation | 103 River Rd, Ste 101, Edgewater, NJ 07020-1016 | 2014-11-11 |
| 1033456124 | Global Medical Guardians | Family Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2013-01-09 |
| 1164708319 | Andrei Terentiev Md LLC | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2011-11-01 |
| 1598048233 | Ccc Vein Care LLC | Internal Medicine | 103 River Rd, Suite202, Edgewater, NJ 07020-1016 | 2011-09-20 |
| 1407153265 | Nitin Putcha | Physical Medicine & Rehabilitation | 103 River Rd, Ste 101, Edgewater, NJ 07020-1016 | 2011-02-14 |
| 1760700215 | Domenico Rotoli | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2010-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669855565 | Rotoli Medical Consultants LLC | Internal Medicine | 103 River Rd Ste 1b, Edgewater, NJ 07020-1016 | 2015-07-09 |
| 1164648515 | Stanley Bernard Garbus | Internal Medicine | 2204 Daibes Ct, Edgewater, NJ 07020-1066 | 2007-04-17 |
| 1235176157 | Ellen Rose Mcinerney | Internal Medicine | 137 Mitchells Chance Rd, Suite 180, Edgewater, MD 21037-2787 | 2006-05-31 |
| 1730145095 | Michael Eugene Johnson | Internal Medicine | 506 N Ridgewood Ave, Edgewater, FL 32132-1622 | 2006-04-25 |
| 1013984046 | Nadia Akhmed | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2006-03-08 |
| 1750352431 | Leslie Manuel Lee | Internal Medicine | 2568 S Ridgewood Ave, Suite 5, Edgewater, FL 32141-5980 | 2006-01-30 |
| 1518938372 | Edgewater Internal Medicine Assoc. Inc. | Internal Medicine | 2568 S. Ridgewood Ave, Suite 5, Edgewater, FL 32141-7535 | 2006-01-30 |
| 1649648809 | Universal Medicine, LLC | Internal Medicine | 103 River Rd, Suite 101, Edgewater, NJ 07020-1016 | 2015-09-04 |
| 1174906457 | Marjorie Maye Soledad Mamsaang | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-07-03 |
| 1265844872 | Adam Atoot | Internal Medicine | 935 River Rd, Edgewater, NJ 07020-2234 | 2014-05-30 |
| Find all providers in EDGEWATER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.