MEDICARE: DR. ALAN SHIENBAUM D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	25MB07201700	NJ
2	207ZC0500X	Cytopathology Physician	25MB07201700	NJ
3	207ZC0500X	Cytopathology Physician	OS0088141	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811967904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN SHIENBAUM D.O.

Provider Business Mailing Address
First Line	:	2201 CHAPEL AVE W
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-2048
Country	:	US
Telephone Number	:	856-488-6506
Fax Number	:	856-488-6846

Provider Business Practice Location Address
First Line	:	2201 CHAPEL AVE W
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-2048
Country	:	US
Telephone Number	:	856-488-6506
Fax Number	:	856-488-6846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	05/21/2026

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Directions to “ DR. ALAN SHIENBAUM D.O.” Practice Location

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