DR. WAYNE SHAW (MD) – Internal Medicine Physician, NPI 1407017908

DR. WAYNE SHAW (MD) is a healthcare provider. based in Hammonton, New Jersey. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 25MA09126300 (NJ). The NPI Number for DR. WAYNE SHAW (MD) is 1407017908

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE SHAW (MD)
NPI
1407017908
Phone
(609) 567-0200
Address
1 N WHITE HORSE PIKE
Enumeration Date
18 June 2008
Last Update Date
4 June 2020

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
6093860775
Graduation Year
2008 (18 years ago)
PAC ID
5496903627
Group Practice PAC ID
0547170763
Professional Enrollment ID
I20120913000352
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WAYNE SHAW (MD)

  • 1, North White Horse Pike, Hammonton, Atlantic County, New Jersey, 08037, United States

    HAMMONTON, NJ 080371875

    Phone: (609) 567-0200

    Fax: (609) 567-3492

    Type: Mailing

  • Browns Mills, Pemberton Township, Burlington County, New Jersey, 08015, United States

    PEMBERTON, NJ 080681537

    Phone: (609) 894-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: ABIOMED ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120913000352IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547170763View full group profile
NameSpecialtyState
Internal MedicineNJ
Nurse PractitionerPA
-CA
Internal MedicineNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
Nurse PractitionerNJ
-NJ
-NJ
P O D I A T R YNJ
Certified Nurse Midwife (Cnm)NJ

Reviews

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Frequently asked questions

How do payers reference DR. WAYNE SHAW (MD)?
For DR. WAYNE SHAW (MD), use NPI 1407017908 as the unique 10-digit identifier.
Active or inactive — what applies to DR. WAYNE SHAW (MD)?
You should see DR. WAYNE SHAW (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. WAYNE SHAW (MD)?
DR. WAYNE SHAW (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. WAYNE SHAW (MD) associated with Hammonton?
Public fields place DR. WAYNE SHAW (MD) around Hammonton, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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