| Kyle Shaw, | |
|
364 Berlin Cross Keys Rd, Williamstown, NJ 08094-3473 | |
| (856) 994-0004 | |
| (856) 497-5133 |
| Full Name | Kyle Shaw |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 9 Years |
| Location | 364 Berlin Cross Keys Rd, Williamstown, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710410899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 25MD00355700 (New Jersey) | Primary |
| 213E00000X | Podiatrist | SC007080 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada At Inspira, Home Health And Hospice | Millville, NJ | Home health agency |
| Inspira Medical Center Elmer | Elmer, NJ | Hospital |
| Inspira Medical Center Vineland | Vineland, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr. Christopher M Larosa Llc | 4486663713 | 2 |
| Inspira Health Network Medical Group Pc | 4880797570 | 244 |
| Provider Name | Dr. Christopher M Larosa Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235253600 PECOS PAC ID: 4486663713 Enrollment ID: O20060414000105 |
| Provider Name | Inspira Health Network Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
| Provider Name | Mullica Hill Podiatry Associates Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124328869 PECOS PAC ID: 8921288945 Enrollment ID: O20110209000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Shaw, 134 Bridgeton Pike Ste C, Mullica Hill, NJ 08062-2616 Ph: (856) 507-2783 | Kyle Shaw, 364 Berlin Cross Keys Rd, Williamstown, NJ 08094-3473 Ph: (856) 994-0004 |
Muyiwa Akin Okuribido, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 705 Renaissance Dr, Williamstown, NJ 08094 Phone: 732-241-8295 Fax: 856-504-0200 | |
Advanced Foot & Ankle Center Of Williamstown, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1035 North Black Horse Pike, Unit 1, Williamstown, NJ 08094 Phone: 856-629-7518 Fax: 856-629-1838 | |
Dr. Jeffrey Arthur Revello, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1712 Hessian Drive, Williamstown, NJ 08094 Phone: 856-863-6927 Fax: 856-863-6927 | |
Dr. Joseph Patrick Haley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1035 North Black Horse Pike, Unit 1, Williamstown, NJ 08094 Phone: 856-629-7518 Fax: 856-629-1838 | |
Dr. Mark Anthony Di Medio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 Sicklerville Rd, Williamstown, NJ 08094 Phone: 856-629-0645 Fax: 856-629-1472 | |
Dr. Robert H Moss, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1056 S Black Horse Pike, Apt K10, Williamstown, NJ 08094 Phone: 856-498-2314 |