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SHORE MEDICINE LLC
NPI 1972638039
Internal Medicine - Geriatric Medicine in Lakewood, NJ

Active since February 22, 2007
1255 HIGHWAY 70, SUITE 24-S, LAKEWOOD, NJ 08701(732) 730-0020(732) 730-0035 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shore Medicine Llc NPPES

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

SHORE MEDICINE LLC (NPI 1972638039) is a healthcare organization registered as a geriatric medicine in Lakewood, New Jersey and active in the NPI registry since February 2007. The organization lists Manjula Thopcherla, President, as its authorized official.

NPPES Registry Identity

NPI1972638039
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSHORE MEDICINE LLC
Location Address1255 HIGHWAY 70, SUITE 24-SLakewood, NJ 08701-5900
Mailing Address1255 Highway 70, Suite 24-sLakewood, NJ 08701-5900 · (732) 730-0020 · Fax (732) 730-0035
Phone(732) 730-0020
Fax(732) 730-0035
Organization SubpartNo
Authorized OfficialManjula ThopcherlaPresident · (732) 730-0020
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 26, 2007
✔ NPI 1972638039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1255 HIGHWAY 70, Lakewood, NJ 08701
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Other Identifiers 2

Medicare ID-Type Unspecified099320NJ · Practice Medicare Id
OtherDE4170NJ · Palmetto Gba Railroad Med

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20060321000624Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shore Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Manjula Thopcherla, M.D.
Internal Medicine
NPI 1598782930
1255 HIGHWAY 70 SUITE # 24-S
Lakewood, NJ 08701
(732) 730-0020
✔ PECOS✔ Accepts Medicare0.2 mi
Kim Whalen, ARNP
Nurse Practitioner
NPI 1568407112
970 ROUTE 70
Brick, NJ 08724
(732) 836-6011
✔ PECOS✔ Accepts Medicare3.0 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 Medicine LLC's NPI number?

The NPI number for Shore Medicine LLC is 1972638039. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Shore Medicine LLC located?

Shore Medicine LLC is located at 1255 Highway 70 Suite 24-S, Lakewood, NJ 08701. The listed phone number is (732) 730-0020.

What is Shore Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Shore Medicine LLC enrolled in Medicare?

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

When is Shore Medicine LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shore Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shore Medicine LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. 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 Medicine LLC was last updated on October 26, 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.