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DR. SHAHRAM JAY MIRMANESH MD, MBA
NPI 1750335360
Pediatrics in Marlton, NJ

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
12000 LINCOLN DR W, SUITE 311, MARLTON, NJ 08053(856) 985-8100(856) 985-8374 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shahram Jay Mirmanesh Md, Mba NPPES

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

DR. SHAHRAM JAY MIRMANESH MD, MBA (NPI 1750335360) is an individual pediatrics provider in Marlton, New Jersey, licensed in New Jersey (25MA05186900) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1750335360
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAHRAM JAY MIRMANESHCredential: MD, MBA
Location Address12000 LINCOLN DR W, SUITE 311Marlton, NJ 08053-3402
Mailing Address3 Woodbrook RdVoorhees, NJ 08043-2840 · (856) 768-5336 · Fax (856) 985-8374
Phone(856) 985-8100
Fax(856) 985-8374
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750335360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA05186900
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12000 LINCOLN DR W, Marlton, NJ 08053
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Other Identifiers 1

Medicare UPINE55098

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shahram Jay Mirmanesh Md, Mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799958492
PECOS Enrollment IDI20111025000258
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. NADIA CHAUDHRY M.D.
Legal Medicine
12000 LINCOLN DR W
MARLTON, NJ 08053
Burlington County (856) 988-8230
KATHLEEN MARIE DEAN LCSW
Social Worker (Clinical)
12000 LINCOLN DR W, SUITE 407
MARLTON, NJ 08053
Burlington County (856) 985-3404
THE EB WELLNESS CENTER
Social Worker (Clinical)
12000 LINCOLN DR W, SUITE 405
MARLTON, NJ 08053
Burlington County (865) 830-1185
DR. GREGORY WILLIAM JOSEPH PSY.D.
Psychologist (Clinical)
12000 LINCOLN DR W, SUITE 105
MARLTON, NJ 08053
Burlington County (856) 797-0791
CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA
Pediatrics
12000 LINCOLN DR W, SUITE 311
MARLTON, NJ 08053
Burlington County (856) 985-8100
STEPHEN FALKOWSKI, DO PA
Family Medicine
12000 LINCOLN DR W, SUITE 309
MARLTON, NJ 08053
Burlington County (856) 985-4600
UNITY CARE MEDICAL GROUP, LLC
Pediatrics
12000 LINCOLN DR W, SUITE 311
MARLTON, NJ 08053
Burlington County (856) 985-8100
DR. BRYAN C RUSSELL DC
Chiropractor
12000 LINCOLN DR W, SUITE 304
MARLTON, NJ 08053
Burlington County (856) 983-4499

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 Shahram Mirmanesh's NPI number?

The NPI number for Shahram Mirmanesh is 1750335360. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Shahram Mirmanesh located?

Shahram Mirmanesh practices at 12000 Lincoln Dr W Suite 311, Marlton, NJ 08053. The listed phone number is (856) 985-8100.

What is Shahram Mirmanesh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shahram Mirmanesh enrolled in Medicare?

Yes. Shahram Mirmanesh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shahram Mirmanesh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.