Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | MD001172 | NJ |
NPI | 1528052354 |
---|---|
Provider Name | Dr. David Shansky |
First Address | East Brunswick, NJ 08816-2714 |
Second Address | East Brunswick, NJ 08816-2714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 03/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
065907 | (05) | NJ |
222345167 | HORIZON BC/BS (01) | NJ |
AMERICHOICE | 91001491602 (01) | NJ |
AMERIGROUP | 295675 (01) | NJ |
CIGNA | 5456004 (01) | NJ |
HEALTHNET | 3K2937 (01) | NJ |
HORIZON NJ HEALTH | 1123189 (01) | NJ |
OXFORD | P3474563 (01) | NJ |
T44910 | (02) | NJ |
UNITED HEALTH CARE | 222345167 (01) | NJ |
UNIVERSITY HEALTH PL | 36337 (01) | NJ |