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SHORE ENDOCRINOLOGY ASSOCIATES LLC
NPI 1407169519
Clinic/Center - Medical Specialty in Manalapan, NJ

Active since July 17, 2010
193 US HIGHWAY 9 STE 1D, MANALAPAN, NJ 07726(732) 903-4005(616) 226-4685 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shore Endocrinology Associates Llc NPPES

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

SHORE ENDOCRINOLOGY ASSOCIATES LLC (NPI 1407169519) is a healthcare organization registered as a medical specialty in Manalapan, New Jersey and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Tinton Falls and lists Svetlana Fomin, Director, as its authorized official.

NPPES Registry Identity

NPI1407169519
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSHORE ENDOCRINOLOGY ASSOCIATES LLC
Location Address193 US HIGHWAY 9 STE 1DManalapan, NJ 07726-3016
Mailing Address113 Austin StTinton Falls, NJ 07712-7760
Phone(732) 903-4005
Fax(616) 226-4685
Organization SubpartNo
Authorized OfficialSvetlana FominDirector · (732) 685-1566
Enumeration DateJuly 17, 2010
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1407169519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
193 US HIGHWAY 9 STE 1D, Manalapan, NJ 07726
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Secondary Practice Location 1

Location 1113 Austin StTinton Falls, NJ 07712-7760 · Phone (732) 903-4005 · Fax (616) 226-4685

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Endocrinology Associates Llc 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 Shore Endocrinology Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Svetlana Fomin, MD
Endocrinology
NPI 1326219924
755 MEMORIAL PKWY STE 302A
Phillipsburg, NJ 08865
(484) 526-7300
✔ PECOS✔ Accepts Medicare55 mi

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

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 Shore Endocrinology Associates LLC's NPI number?

The NPI number for Shore Endocrinology Associates LLC is 1407169519. It was assigned to this organization in the NPPES registry on July 17, 2010.

Where is Shore Endocrinology Associates LLC located?

Shore Endocrinology Associates LLC is located at 193 Us Highway 9 Ste 1D, Manalapan, NJ 07726. The listed phone number is (732) 903-4005.

What is Shore Endocrinology Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Shore Endocrinology Associates LLC enrolled in Medicare?

Yes. Shore Endocrinology Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shore Endocrinology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Shore Endocrinology Associates LLC. 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.

When was this NPI record last updated?

The NPPES record for Shore Endocrinology Associates LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.