JACQUELYN SHAW M.D. – NPI #1720187347
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

JACQUELYN SHAW is a physician located in HASBROUCK HEIGHTS, NJ. NPPES has assigned the NPI number 1720187347 to JACQUELYN SHAW on September 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 4 years ago on Feb 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELYN SHAW below.

NPI Profile for
JACQUELYN SHAW

NPI Number
1720187347
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELYN SHAW
Credentials
M.D.
Primary location
214 TERRACE AVENUE
HASBROUCK HEIGHTS, NJ 07604
Phone: (201) 288-6330 Fax: (201) 288-6331
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACQUELYN SHAW

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNANJ5180001
OTHERCIGNANJ1528267
OTHERGHINJ8217906
OTHERGREAT WESTNJ74437
OTHERHEALTHNETNJJ30559
OTHERHORIZON BC BS OF NJNJ820584930
OTHEROXFORDNJP2884936
OTHERUNITED HEALTHCARENJ2043630
OTHERWELLCHOICENJ2749N1
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
NJ MA55112

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EPIC
Content Type
Affiliation
Y
Endpoint Location
150 BERGEN ST,
NEWARK, NJ 77025-1669

Additional Information

Education
NEW YORK MEDICAL COLLEGE - Graduated 1975
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACQUELYN SHAW is affiliated with the following medical group(s):
  • HOSPITAL
    • THE UNIVERSITY HOSPITAL
      150 BERGEN ST
      NEWARK, NJ 07103

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.