DR. JACQUELYN SHAW (NPI# 1720187347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187347 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN SHAW |
| Credential | M.D. |
| Practice Address |
214 Terrace Avenue Hasbrouck Heights NJ 07604 |
| Practice Telephone | 2012886330 |
| Practice Fax Number | 2012886331 |
| Mailing Telephone | 2012886330 |
| Mailing Fax Number | 2012886331 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
MA55112 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | OXFORD | P2884936 | 01 |
| NJ | AETNA | 5180001 | 01 |
| NJ | HEALTHNET | J30559 | 01 |
| NJ | CIGNA | 1528267 | 01 |
| NJ | UNITED HEALTHCARE | 2043630 | 01 |
| NJ | HORIZON BC BS OF NJ | 820584930 | 01 |
| NJ | GREAT WEST | 74437 | 01 |
| NJ | WELLCHOICE | 2749N1 | 01 |
| NJ | GHI | 8217906 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476771 | Jacquelyn Shaw | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2015-05-12 |
| 1629320361 | Jacquelyn Shaw | Counselor | 3020 Bailey Ave, 2nd Floor, Buffalo, NY 14215-2814 | 2012-10-04 |
| 1255649802 | Jacquelyn Shaw | Nurse Practitioner | 15400 Southwest Fwy, Suite 300, Sugar Land, TX 77478-3875 | 2010-09-16 |
| Street Address |
214 TERRACE AVENUE |
| City | HASBROUCK HEIGHTS |
| State | NJ |
| Zip Code | 07604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427102110 | Susan A Wolf | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2007-01-22 |
| 1013002872 | Gerson Weiss | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-10-04 |
| 1023101599 | Michael Ming-huei Cho | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991865 | Delcalzo Spine and Wellness Center | Chiropractor | 75 Nj -17, Hasbrouck Heights, NJ 07604 | 2018-11-26 |
| 1700310380 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Garrison Avenue, Hasbrouck Heights, NJ 07604 | 2017-04-20 |
| 1114382579 | David Morin | Pharmacist | 230 Walter Ave, Pharmex Pharmacy, Hasbrouck Heights, NJ 07604 | 2015-12-29 |
| 1275817439 | Evan D. Sehgal, Md Pa | Internal Medicine | 777 Terrace Avenue, Suite 311, Hasbrouck Heights, NJ 07604 | 2011-10-06 |
| 1477837110 | Eileen Delaney | Psychiatry & Neurology | 201 Oldfield Ave, Hasbrouck Heights, NJ 07604 | 2011-09-29 |
| 1740416213 | Rachel J Galas | Massage Therapist | 209 Springfield Ave, Hasbrouck Heights, NJ 07604 | 2009-06-10 |
| 1760509228 | Care Plus New Jersey, Inc. | Community/Behavioral Health | 611 Route 46 West, Suite 100, Hasbrouck Heights, NJ 07604 | 2007-03-22 |
| 1659424505 | Despina S. Fikaris | Optometrist | 227 1.2 Boulevard, Hasbrouck Heights, NJ 07604 | 2007-01-22 |
| 1952452443 | Mark John Delcalzo | Chiropractor | 75 Nj Route 17 South, Hasbrouk Heights, NJ 07604 | 2007-01-13 |
| 1396812145 | Jeffrey Ellwood Mason | Dentist | 232 Boulevard, Suite 1, Hasbrouck Heights, NJ 07604 | 2006-11-29 |
| Find all providers in zip 07604 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770638009 | University Reproductive Associates, P.C. | Obstetrics & Gynecology | 214 Terrace Ave, Hasbrouck Heights, NJ 07604-1815 | 2007-01-25 |
| 1346684123 | Kavitha Persaud | Obstetrics & Gynecology | 214 Terrace Ave, Hasbrouck Heights, NJ 07604-1815 | 2013-04-23 |
| 1952431355 | Aimee M. Seungdamrong | Obstetrics & Gynecology | 214 Terrace Ave, Hasbrouck Heights, NJ 07604-1815 | 2007-03-06 |
| 1427102110 | Susan A Wolf | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2007-01-22 |
| 1013002872 | Gerson Weiss | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-10-04 |
| 1023101599 | Michael Ming-huei Cho | Obstetrics & Gynecology | 214 Terrace Avenue, Hasbrouck Heights, NJ 07604 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376970061 | Wesley Chodos | Obstetrics & Gynecology | 16 Sunflower Cir, Lumberton, NJ 08048-4862 | 2013-09-26 |
| 1467751255 | Thalia R Segal | Obstetrics & Gynecology | 296 Durie Ave, Closter, NJ 07624-2431 | 2011-03-20 |
| 1316137748 | Sher Institute for Reproductive Medicine | Obstetrics & Gynecology | 171 State Route 173, Ste 301, Asbury, NJ 08802 | 2007-08-01 |
| 1609086099 | Louis R. Manara D.o. | Obstetrics & Gynecology | 200a Route 73n, Voorhees, NJ 08043-9542 | 2007-05-23 |
| 1821217191 | Lauren Weissmann | Obstetrics & Gynecology | 400 Lippincott Dr Ste 130, Marlton, NJ 08053-4161 | 2007-04-25 |
| 1770644783 | Mark Victor Sauer | Obstetrics & Gynecology | 125 Paterson St Ste 4200, New Brunswick, NJ 08901-1962 | 2006-12-13 |
| 1922181262 | Lorraine Carole King | Obstetrics & Gynecology | 12140 2nd Ave, Stone Harbor, NJ 08247-1057 | 2006-10-23 |
| 1245335652 | Zalman Levine | Obstetrics & Gynecology | 680 Kinder Kamack Rd, Suite 200, Oradell, NJ 07649 | 2006-09-13 |
| 1164534277 | Daniel Navot | Obstetrics & Gynecology | 30 Creston Ave, Tenafly, NJ 07670-2906 | 2006-08-31 |
| 1326156480 | Douglas S Rabin | Obstetrics & Gynecology | 33-00 Broadway, Suite 300, Fair Lawn, NJ 07410-4617 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| City | HASBROUCK HEIGHTS |
| Zip Code | 07604 |
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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.