DR. PHYLLIS SHETTY (NPI# 1730245333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730245333 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS SHETTY |
| Credential | M.D. |
| Practice Address |
130 Gaither Dr Mount Laurel NJ 08054-1715 |
| Mailing Address |
700 Us Rt 130 N Suite 203 Cinnaminson NJ 08077 |
| Practice Telephone | 8567227000 |
| Practice Fax Number | 8568290580 |
| Mailing Telephone | 8568299345 |
| Mailing Fax Number | 8568290580 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 25MA03821300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
130 GAITHER DR |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516280 | Our Lady of Lourdes Medical Center | Clinic/Center | 130 Gaither Dr, Suite 172, Mount Laurel, NJ 08054-1715 | 2005-08-24 |
| 1760732408 | Tyler Dialysis LLC | Clinic/Center | 130 Gaither Dr, Ste 172, Mount Laurel, NJ 08054-1715 | 2012-09-10 |
| 1164679445 | Sleepcare Center Inc. | Specialist | 130 Gaither Dr, Ste: 124, Mount Laurel, NJ 08054-1715 | 2008-08-19 |
| 1912064965 | Erika Jones | Registered Nurse | 130 Gaither Dr, Mount Laurel, NJ 08054-1715 | 2007-01-02 |
| 1326105388 | Carol Liimakka | Registered Nurse | 130 Gaither Dr, Mount Laurel, NJ 08054-1715 | 2007-01-02 |
| 1336206184 | Michelle Rufino | Registered Nurse | 130 Gaither Dr, Mount Laurel, NJ 08054-1715 | 2007-01-02 |
| 1952468738 | Leslee Taylor-godshalk | Registered Nurse | 130 Gaither Dr, Mount Laurel, NJ 08054-1715 | 2007-01-02 |
| 1356398440 | Persante Sleep Care, Inc. | Specialist | 130 Gaither Dr, Suite 124, Mount Laurel, NJ 08054-1715 | 2006-05-27 |
| 1689639692 | Surgical Center of South Jersey Limited Partnership | Clinic/Center | 130 Gaither Dr, Suite 160, Mount Laurel, NJ 08054-1715 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881859080 | Niti D Cooper | Anesthesiology | 15000 Midtlantic Drive, Suite 102, Mount Laurel, NJ 08054 | 2008-07-28 |
| 1649336330 | Michael Mcdaniel Brown | Anesthesiology | 1 Langcliffe Ct, Mount Laurel, NJ 08054-6222 | 2006-12-28 |
| 1992091888 | Steven Warren Mcgrath | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-06-20 |
| 1962792986 | Manish Shah | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-04-11 |
| 1720240369 | Matthew Lesneski | Anesthesiology | 15000 Midlantic Drive, Suite 102, Mount Laurel, NJ 08054 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332130 | Houston Anesthesia Services Pllc | Anesthesiology | 111 Town Square Pl Ste 420, Jersey City, NJ 07310-1755 | 2020-09-24 |
| 1710593694 | Intel Anesthesia LLC | Anesthesiology | 1167 Mcbride Ave Fl 2, Woodland Park, NJ 07424-2543 | 2020-09-16 |
| 1154947190 | Ogden Ave Sleep Doctor LLC | Anesthesiology | 600 Ogden Ave, Teaneck, NJ 07666-2921 | 2020-06-24 |
| 1396360319 | Dr Michael Vassallo, Inc | Anesthesiology | 335 Wyckoff Ave, Wyckoff, NJ 07481-2237 | 2020-06-15 |
| 1538782768 | Leslie Osei-tutu Anesthesia LLC | Anesthesiology | 1760 Cooper Rd, Scotch Plains, NJ 07076-2552 | 2020-05-21 |
| 1982226965 | Cmd Anesthesia PC | Anesthesiology | 177 N Dean St Ste 301, Englewood, NJ 07631-2527 | 2020-05-12 |
| 1053947853 | Guardian Anesthesia | Anesthesiology | 35 Pebble Beach Dr, Livingston, NJ 07039-8208 | 2020-03-12 |
| 1982235602 | Rest Assured Relief | Anesthesiology | 111 Madison Ave Ste 308, Morristown, NJ 07960-7347 | 2020-01-31 |
| 1356972699 | Sunita Dhawlikar M.d. LLC | Anesthesiology | 6 Evergreen Ln, Colts Neck, NJ 07722-1276 | 2020-01-27 |
| 1609422757 | Rdp Anesthesia | Anesthesiology | 666 Plainsboro Rd Ste 1d, Plainsboro, NJ 08536-3003 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
Please comment or provide details below to improve the information on DR. PHYLLIS SHETTY.
| 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.