BENJAMIN SHAW (NPI# 1477986610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477986610 |
| Entity Type | Individual |
| Full Name | BENJAMIN SHAW |
| Credential | P.A |
| Practice Address |
141 Main St South Bound Brook NJ 08880-1480 |
| Practice Telephone | 7325601234 |
| Mailing Telephone | 7325601234 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00306300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053894451 | Benjamin Hee-soo Shaw | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-09-11 |
| 1124400510 | Benjamin Allen Shaw | Social Worker | 2255 Jfk Rd, Dubuque, IA 52002-2846 | 2015-06-23 |
| 1952424657 | Benjamin Loren Shaw | Internal Medicine | 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | 2007-04-09 |
| Street Address |
141 MAIN ST |
| City | SOUTH BOUND BROOK |
| State | NJ |
| Zip Code | 08880-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073739900 | Urgentmed, PC | Internal Medicine | 141 Main St, South Bound Brook, NJ 08880-1480 | 2007-04-18 |
| 1295758258 | Jeffrey Kaladas | Internal Medicine | 141 Main St, South Bound Brook, NJ 08880-1480 | 2006-07-25 |
| 1306877519 | Liza Rodriguez | Anesthesiology | 141 Main St, South Bound Brook, NJ 08880-1480 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629550074 | Liza Rodriguez, Md. LLC. | Anesthesiology | 141 Main Street, South Bound Brook, NJ 08880 | 2018-09-02 |
| 1922243872 | George Yastine Jr. | Internal Medicine | 128 Van Syckle Blvd, South Bound Brook, NJ 08880-1138 | 2008-12-06 |
| 1770968323 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 270 Kilcourse Street, South Bound Brook, NJ 08880-1144 | 2015-07-24 |
| 1891394201 | Apluscare, LLC | Community/Behavioral Health | 112 Prospect St, South Bound Brook, NJ 08880-1239 | 2020-10-19 |
| 1922477215 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Elizabeth St, South Bound Brook, NJ 08880-1267 | 2015-09-17 |
| 1275799843 | Tiffany A Abdullah | Physical Therapist | 136 Maple Ave, South Bound Brook, NJ 08880-1337 | 2008-08-04 |
| 1518348952 | Delta Community Supports, Inc. | Day Training, Developmentally Disabled Services | 159 Main St Apt B18, Town Oaks Apts, S Bound Brook, NJ 08880-1419 | 2015-06-11 |
| 1689815508 | Easy Pharmacy At Sbb LLC | Durable Medical Equipment & Medical Supplies | 34 Main St, South Bound Brook, NJ 08880-1466 | 2009-03-24 |
| 1053839159 | Alternatives, Inc. | Community/Behavioral Health | 41 Swing Bridge Ln, South Bound Brook, NJ 08880-1492 | 2017-09-08 |
| 1215256490 | Cynthia Elizabeth Feierstein | Speech-Language Pathologist | 99 Swing Bridge Ln, South Bound Brook, NJ 08880-1492 | 2010-05-26 |
| Find all providers in zip 08880 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOUND BROOK |
| Zip Code | 08880 |
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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.