JACK M. SHIELDS,M.D., PA
NPI 1245425206
Internal Medicine in Bridgeton, NJ

Q: What is Jack M. Shields,m.D., PA's NPI number?

The NPI number for Jack M. Shields,m.D., PA is 1245425206. It was assigned to this organization in the NPPES registry on September 12, 2007.

Q: What is Jack M. Shields,m.D., PA's specialty?

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

Active since September 12, 2007

20 MAGNOLIA AVE, BUILDING B , SUITE C, BRIDGETON, NJ 08302(856) 455-8833 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack M. Shields,m.d., Pa NPPES

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

JACK M. SHIELDS,M.D., PA (NPI 1245425206) is a healthcare organization registered as an internal medicine in Bridgeton, New Jersey and active in the NPI registry since September 2007. The organization lists Jack M. Shields, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1245425206

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameJACK M. SHIELDS,M.D., PA

Location Address20 MAGNOLIA AVE, BUILDING B , SUITE CBridgeton, NJ 08302-1759

Mailing Address20 Magnolia Ave, Building B , Suite CBridgeton, NJ 08302-1759 · (856) 455-8833

Phone(856) 455-8833

Organization SubpartNo

Authorized OfficialJack M. ShieldsCeo/president · (856) 455-8833

Enumeration DateSeptember 12, 2007

Last NPPES UpdateSeptember 13, 2007

✔ NPI 1245425206 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 · MA35038

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.

20 MAGNOLIA AVE, Bridgeton, NJ 08302

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Other Identifiers 4

Medicare UPINC54167NJ

Medicare PIN413590DQRNJ

Medicaid3019501NJ

Medicare PIN888274NJ

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN H READ MD

Urology

20 MAGNOLIA AVE, STE D
BRIDGETON, NJ 08302

Cumberland County (856) 455-5770

MR. JOSE F DIAZ MD

Urology

20 MAGNOLIA AVE, STE D
BRIDGETOWN, NJ 08302

Cumberland County (856) 455-5770

KIDNEY AND HYPERTENSION SPECIALISTS, P.A.

Internal Medicine (Nephrology)

20 MAGNOLIA AVE, SUITE A
BRIDGETON, NJ 08302

Cumberland County (856) 455-6002

DONNA L MCLEAN LLC

Midwife

20 MAGNOLIA AVE, SUITE A
BRIDGETON, NJ 08302

Cumberland County (856) 455-7017

GENITO URINARY ASSOCIATES, P.A.

Urology

20 MAGNOLIA AVE, STE D
BRIDGETON, NJ 08302

Cumberland County (856) 455-5770

WOMENS HEALTHCARE OF SOUTH JERSEY

Specialist

20 MAGNOLIA AVE, SUITE A
BRIDGETON, NJ 08302

Cumberland County (856) 455-7017

JACK M SHIELDS M.D.

Internal Medicine

20 MAGNOLIA AVE, SUITE C
BRIDGETON, NJ 08302

Cumberland County (856) 455-8833

MRS. DONNA L MCLEAN CNM

Registered Nurse

20 MAGNOLIA AVE, SUITE A
BRIDGETON, NJ 08302

Cumberland County (856) 455-7017

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 Jack M. Shields,m.D., PA's NPI number?

The NPI number for Jack M. Shields,m.D., PA is 1245425206. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Jack M. Shields,m.D., PA located?

Jack M. Shields,m.D., PA is located at 20 Magnolia Ave Building B , Suite C, Bridgeton, NJ 08302. The listed phone number is (856) 455-8833.

What is Jack M. Shields,m.D., PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack M. Shields,m.D., PA was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.