Provider Demographics
NPI:1114020526
Name:CHENG, SHIOW JANE (MD)
Entity Type:Individual
Prefix:MRS
First Name:SHIOW
Middle Name:JANE
Last Name:CHENG
Suffix:
Gender:F
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:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 UNION AVENUE
Practice Address - Street 2:BRIDGEWATER INTERNAL MEDICINE
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-685-1818
Practice Address - Fax:908-685-8225
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA29595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0423106Medicaid
C57295Medicare UPIN
107973CVKMedicare ID - Type Unspecified