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Enrollment ID I20161006000331 resolves to a single NPI record. Open the full profile for complete detail.

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JS
NPI · 1720187347 · Active
Jacquelyn Shaw M.D.
Reproductive Endocrinology · Hasbrouck Heights, New Jersey
Active
NPI
1720187347
Enrollment ID
I20161006000331
Taxonomy
207VE0102X
Type
Practitioner - Obstetrics/Gynecology

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 74437NJ· Issued by GREAT WEST
  • 2043630NJ· Issued by UNITED HEALTHCARE
  • 1528267NJ· Issued by CIGNA
  • 2749N1NJ· Issued by WELLCHOICE
  • 5180001NJ· Issued by AETNA
  • 8217906NJ· Issued by GHI
  • P2884936NJ· Issued by OXFORD
  • 820584930NJ· Issued by HORIZON BC BS OF NJ
  • J30559NJ· Issued by HEALTHNET

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.