DR. WAYNE SHAW (NPI# 1407017908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407017908 |
| Entity Type | Individual |
| Full Name | DR. WAYNE SHAW |
| Credential | MD |
| Practice Address |
600 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 |
| Mailing Address |
1 N White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 6098941100 |
| Mailing Telephone | 6095670200 |
| Mailing Fax Number | 6095673492 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA09126300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0302457 | 05 |
| Street Address |
600 PEMBERTON BROWNS MILLS RD |
| City | PEMBERTON |
| State | NJ |
| Zip Code | 08068-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205951019 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2007-03-20 |
| 1578979720 | Lilian Mekhail | Pediatrics | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-07-09 |
| 1396093613 | Aspen Hills Healthcare Center LLC | Psychiatric Hospital | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2012-08-16 |
| 1801142187 | Aspen Hills Healthcare Center LLC | Skilled Nursing Facility | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2012-07-24 |
| 1720236631 | Renuka Maringanti | Dentist | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998502 | Deena Gutch | Counselor | 610 Brownsmills Rd, Pemberton, NJ 08068 | 2016-08-28 |
| 1467738492 | Exceptional Kidz Rehabilitation | Counselor | 43 Elizabeth St, Pemberton, NJ 08068 | 2011-10-21 |
| 1972716603 | Ellen Christine Miller | Occupational Therapy Assistant | 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 | 2007-05-08 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1053453076 | Chitra Sarvotam | Dentist | 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 | 2007-02-13 |
| 1700182847 | E Estrella Wells | Student in an Organized Health Care Education/Training Program | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2011-02-08 |
| 1417339128 | Jamie Reuter | Behavioral Analyst | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2015-06-18 |
| 1710167614 | Stephen Alan Kloss | Pharmacist | 87 Hanover St, Pemberton, NJ 08068-1131 | 2007-11-07 |
| 1639291248 | Pemberton Township School District | Local Education Agency (LEA) | 1 Egbert St, Pemberton, NJ 08068-1211 | 2007-04-04 |
| 1851635791 | Aspired Living, Inc | Day Training, Developmentally Disabled Services | 43 Elizabeth St, Pemberton, NJ 08068-1215 | 2012-11-15 |
| Find all providers in zip 08068 | ||||
| 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 |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1770180135 | Shama Patel | Internal Medicine | 760 Bound Brook Rd Ste A, Dunellen, NJ 08812-1079 | 2020-10-07 |
| 1174130835 | Dmm Medical Consulting Group | Internal Medicine | 4551 Route 42 Ste 3, Turnersville, NJ 08012-1751 | 2020-09-28 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1285245076 | Wecare Medical Associates LLC | Internal Medicine | 19 Holly St Ste 2, Cranford, NJ 07016-2158 | 2020-08-14 |
| 1851902803 | Acute Medical Staffing | Internal Medicine | 197 State Route 18 Ste 3000, East Brunswick, NJ 08816-1440 | 2020-08-13 |
| 1992313746 | Advocare, LLC | Internal Medicine | 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 | 2020-07-17 |
| 1295353126 | Navneet Kaur Goraya | Internal Medicine | 8 Netter Ct, Marlboro, NJ 07746-2055 | 2020-07-07 |
| 1699390203 | Mehul Patel | Internal Medicine | 560 Sullivan Ave, Englewood Cliffs, NJ 07632-3119 | 2020-06-09 |
| 1922622133 | Hope Hematology & Oncology Associates LLC | Internal Medicine | 1477 Oak Tree Rd, Iselin, NJ 08830-1625 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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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.