Individual
ROBERT SHANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 BEY LEA RD, STE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842
Mailing address
40 BEY LEA RD, STE B203, TOMS RIVER, NJ 08753
(732) 341-0720
(732) 244-6842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03333200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00242
QUALCARE
—
01
—
0058506000
AMERIHEALTH HMO
—
01
—
01000166201
AMERICHOICE
—
05
—
0882208
—
NJ
01
—
1017614
HORIZON NJ HEALTH
—
01
—
1017615
HORIZON NJ HEALTH
—
01
—
1017616
HORIZON NJ HEALTH
—
01
—
1066877
CAQH
—
01
—
11238
AETNA HMO
—
01
—
162928
AMERIHEALTH PPO
—
01
—
16462
UNIVERSITY
—
01
—
2699918
GHI
—
01
—
4372459
AETNA PPO
—
01
—
51573
CIGNA HMO
—
01
—
558851
WELCHOICE
—
01
—
63A171
WELCHOICE
—
01
—
OK2986
HEALTHNET
—
01
—
PL400032
BCBS PPO
—
01
—
VP002
OXFORD
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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