ROBIN LESLIE SHORE (DO) – Emergency Medicine Physician, NPI 1689623670

ROBIN LESLIE SHORE (DO) is a healthcare provider. based in Ridgewood, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 25MB06022000 (NJ). The NPI Number for ROBIN LESLIE SHORE (DO) is 1689623670

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
ROBIN LESLIE SHORE (DO)
NPI
1689623670
Phone
(800) 777-2455
Address
PO BOX 1173
Enumeration Date
8 May 2006
Last Update Date
15 August 2016

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9082734300
Graduation Year
1990 (36 years ago)
PAC ID
0648325142
Group Practice PAC ID
5395642276
Professional Enrollment ID
I20090908000019
Address ID
NJ079222104BE1XXXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for ROBIN LESLIE SHORE (DO)

  • Ridgewood Post Office, 143, East Ridgewood Avenue, Downtown Ridgewood, Ridgewood, Bergen County, New Jersey, 07451, United States

    VALLEY EMERGENCY ROOM ASSOCIATES PA

    RIDGEWOOD, NJ 07451

    Phone: (800) 777-2455

    Fax: (610) 617-6280

    Type: Mailing

  • The Valley Hospital, 223, North Van Dien Avenue, Ridgewood, Bergen County, New Jersey, 07450, United States

    THE VALLEY HOSPITAL

    RIDGEWOOD, NJ 07450

    Phone: (201) 444-2019

    Fax: (201) 444-3604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-08

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
I20090908000019IEmergency 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes208198$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus111107$0
99203New patient office or other outpatient visit, 30-44 minutes9292$0
87804Detection test by immunoassay with direct visual observation for influenza virus4824$0
99214Established patient office or other outpatient visit, 30-39 minutes4847$0
View full utilization report →

Insurance plans in this area (ZIP 07451)

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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: 5395642276View full group profile

Reviews

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Frequently asked questions

Does ROBIN LESLIE SHORE (DO) have a public NPI I can cite?
Public records show ROBIN LESLIE SHORE (DO) under NPI 1689623670.
Is ROBIN LESLIE SHORE (DO)'s NPI status active today?
Active status means ROBIN LESLIE SHORE (DO)'s NPI record is not deactivated in the public file.
Which specialty label fits ROBIN LESLIE SHORE (DO)?
NPPES ties ROBIN LESLIE SHORE (DO) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ROBIN LESLIE SHORE (DO)?
The directory associates ROBIN LESLIE SHORE (DO) with Ridgewood, New Jersey. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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