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T/A SHILOH MEDICAL GROUP
NPI 1003904269
Internal Medicine in Shiloh, NJ

Active since October 11, 2006CLIA 31D0685072 · Waiver
851 MAIN ST, SHILOH, NJ 08353(856) 455-1464(856) 455-6381 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About T/a Shiloh Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

T/A SHILOH MEDICAL GROUP (NPI 1003904269) is a healthcare organization registered as an internal medicine in Shiloh, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Robert W Dickson, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1003904269
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDICKSON INC
Location Address851 MAIN STShiloh, NJ 08353-8505
Mailing AddressPo Box 110Shiloh, NJ 08353-0110 · (856) 455-1464 · Fax (856) 455-6381
Phone(856) 455-1464
Fax(856) 455-6381
Organization SubpartNo
Authorized OfficialRobert W DicksonSole Owner · (856) 455-1464
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 16, 2013
✔ NPI 1003904269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA53365
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
851 MAIN ST, Shiloh, NJ 08353
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Other Names 1

Doing Business AsT/a Shiloh Medical Group

Other Identifiers 2

Medicaid2673304NJ
Medicare PIN026492

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

T/a Shiloh Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to T/A Shiloh Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Dickson, MD
Internal Medicine
NPI 1851314017
851 MAIN ST
Shiloh, NJ 08353
(856) 455-1464
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0685072

Shiloh Medical Group · Shiloh, NJ
Active · expires Aug 31, 2028
CLIA Number31D0685072
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRobert W. Dickson
Laboratory Phone(856) 455-1464
Laboratory LocationShiloh Medical Group851 Main St PO Box 110, Shiloh, NJ 08353
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dickson Inc's NPI number?

The NPI number for Dickson Inc is 1003904269. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as T/A Shiloh Medical Group.

Where is Dickson Inc located?

Dickson Inc is located at 851 Main St, Shiloh, NJ 08353. The listed phone number is (856) 455-1464.

What is Dickson Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dickson Inc enrolled in Medicare?

Yes. Dickson Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dickson Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dickson Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dickson Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0685072) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dickson Inc accept?

Health plans from Oscar Health list Dickson Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dickson Inc was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.