Provider Demographics
NPI:1114003613
Name:SHINDLER, DANIEL M (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:SHINDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WEST GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:125 PATERSON ST STE 6100
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:732-235-6561
Practice Address - Fax:732-235-6530
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA039646174400000X
NJ25MA03964600207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1096029OtherHORIZON NJ HEALTH
NJ141582OtherONE HEALTH PLAN OF NJ
NJ19675OtherBEECH STREET
NJ2431211OtherAETNA
NJ4326651OtherCIGNA
NJ780222259OtherHORIZON
NJF04684OtherHEALTHNET
NJ1213008Medicaid
NJMI0000208 01OtherAMERICHOICE
NJP710474OtherOXFORD
NJ470761OtherAMERIHEALTH
NJ060015490OtherRAILROAD MEDICARE
NJ10601OtherUNIVERSITY HEALTH PLANS
NJF04684OtherHEALTHNET
NJ2431211OtherAETNA