DR. SHAUKAT M QURESHI (NPI# 1821019373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821019373 |
| Entity Type | Individual |
| Full Name | DR. SHAUKAT M QURESHI |
| Credential | M.D |
| Practice Address |
250 S Broadway Pennsville NJ 08070-2700 |
| Practice Telephone | 8566784452 |
| Practice Fax Number | 8566783325 |
| Mailing Telephone | 8566784452 |
| Mailing Fax Number | 8566783325 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MA036255 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2243903 | 05 | |
| NJ | CIGNA | 3753713B | 01 |
| Street Address |
250 S BROADWAY |
| City | PENNSVILLE |
| State | NJ |
| Zip Code | 08070-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154366466 | Mitchell Bober, D.o. | Family Medicine | 250 S Broadway, Pennsville, NJ 08070-2700 | 2006-06-19 |
| 1851902787 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 250 S Broadway, Pennsville, NJ 08070-2700 | 2020-08-13 |
| 1750444998 | Internal Medicne of South Jersey | Internal Medicine | 250 S Broadway, Suite B, Pennsville, NJ 08070-2700 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843500 | Community Dental of Salem, P.C. | Dentist | 709 South Broadway, Pennsville, NJ 08070 | 2018-06-05 |
| 1962851378 | Optimal Health Solutions | Durable Medical Equipment & Medical Supplies | 390 N Broadway Ste 1400, Pennsville, NJ 08070 | 2016-06-07 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1346460516 | Guy Carrere Woodruff | Psychologist | 6 Humphreys Ave, Pennsville, NJ 08070 | 2007-04-27 |
| 1780700393 | Assisted Living Concepts Inc | Assisted Living Facility | 39 Supawna Road, Pennsville, NJ 08070 | 2007-03-22 |
| 1972655017 | Jerry J Popeck | Dentist | 133 North Broadway, Suite B, Pennsville, NJ 08070 | 2007-01-17 |
| 1548337330 | Ivan Mark Nadler | Chiropractor | 133c North Broadway, Pennsville, NJ 08070 | 2006-11-29 |
| 1841208873 | Joseph T Gallagher | Physical Therapist | 390n Broadway, Ste 400 Heartland Rehabilitation Service of Nj Inc, Pennsville, NJ 08070 | 2006-08-04 |
| 1801803051 | Cooper Primary Care At Pennsville, Pa | Internal Medicine | 390 North Broad Street, Concord Professional Building, Ste 100, Pennsville, NJ 08070 | 2006-08-01 |
| 1508883695 | Marcellus A Maiatico | Physical Medicine & Rehabilitation | 270 South Broadway, Pennsville, NJ 08070 | 2006-07-16 |
| Find all providers in zip 08070 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834532 | Advanced Urology Associates Enterprises | Urology | 525 Jack Martin Blvd Ste 304, Brick, NJ 08724-7737 | 2020-09-02 |
| 1922646132 | Pierre Mendoza Md LLC | Urology | 9 Mule Rd Ste 5, Toms River, NJ 08755-5052 | 2019-12-18 |
| 1215579297 | Jsmk Urology PC | Urology | 140 Sylvan Ave Ste 202, Englewood Cliffs, NJ 07632-2559 | 2019-10-11 |
| 1942854724 | Braga Urologic LLC | Urology | 106 Court House South Dennis Rd Ste 201, Cape May Court House, NJ 08210-2126 | 2019-07-30 |
| 1043863848 | Pedro R Paulino | Urology | 78 Highland St, Paterson, NJ 07524-1906 | 2019-07-20 |
| 1730683905 | Urgent Specialists Nj LLC | Urology | 185 Hudson St, Jersey City, NJ 07311-1209 | 2018-03-21 |
| 1861942393 | A E Feldman LLC | Urology | 125 Matthews Dr, Bedminster, NJ 07921-2624 | 2016-10-07 |
| 1033584057 | Howard Leitner & Perlmutter Urologic Associates | Urology | 2401 State Route 35, Manasquan, NJ 08736-1158 | 2015-12-02 |
| 1124499041 | Hunterdon Specialty Care, PC | Urology | 121 Highway 31, Suite 1200, Flemington, NJ 08822-5744 | 2015-10-19 |
| 1881089654 | Chirag G Gordhan | Urology | 2401 E Evesham Rd Ste F, Voorhees, NJ 08043-9590 | 2015-03-30 |
| Find all providers with the same taxonomy | ||||
| City | PENNSVILLE |
| Zip Code | 08070 |
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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.