ANNEMARIE FERNANDES SHEPHERD (NPI# 1356669279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356669279 |
| Entity Type | Individual |
| Full Name | ANNEMARIE FERNANDES SHEPHERD |
| Other Name | ANNEMARIE THERESE FERNANDES |
| Credential | MD |
| Practice Address |
136 Mountainview Blvd Basking Ridge NJ 07920-3444 |
| Practice Telephone | 9085423000 |
| Mailing Telephone | 9085423000 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT197431 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA09669900 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT197431 | PA | Student, Health Care |
| Street Address |
136 MOUNTAINVIEW BLVD |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922036896 | Tammy Huang | Radiology | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2006-06-29 |
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1740826528 | Marina Botrous Elfar | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-11-27 |
| 1346891421 | Rachel Hilary Breitman | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-09-20 |
| 1275180812 | Carissa Laudati | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-08-19 |
| 1528552858 | Jacqueline Diaz | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2018-06-20 |
| 1770026742 | Amy Lynn Dahl | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-11-23 |
| 1417311754 | Irina Konzelmann | Internal Medicine | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-04-13 |
| 1508247818 | Memorial Sloan Kettering | Pharmacy | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-06-11 |
| 1821475666 | Olivia Ayse Baldisserotto | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710326095 | Justin Mann | Radiology | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2013-06-19 |
| 1710991526 | Karen Esther Borofsky | Radiology | 136 Mountain View Blvd, Basking Ridge, NJ 07920-3444 | 2006-07-28 |
| 1245210491 | Helen L Sidebotham | Radiology | 136 Mountain View Blvd, Basking Ridge, NJ 07920-3444 | 2006-01-21 |
| 1518947761 | Karen D Schupak | Radiology | 136 Mountain View Blvd, Basking Ridge, NJ 07920-3444 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| Find all providers with the same taxonomy | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
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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.