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Jack M. Shields,M.D., PA

Internal Medicine Physician in Bridgeton, NJ · enumerated 2007 · authorized official Jack Shields, Ceo/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245425206

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Registry record

Entity type Organization (Type 2)
Legal business name Jack M. Shields,M.D., PA
Practice address 20 Magnolia Ave, Building B , Suite C, Bridgeton, NJ, 08302
Enumeration date Sep 12, 2007
Last updated in NPPES Sep 13, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MA35038 (NJ) Primary

Authorized official

Name Jack Shields
Title Ceo/President

Other identifiers

Identifier Type State Issuer
3019501 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Jack M. Shields,M.D., PA located?
The practice location on file with NPPES is in Bridgeton, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-09-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-13.