ROBIN LESLIE SHORE (DO) – Emergency Medicine Physician, NPI 1689623670
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090908000019 | I | Emergency Medicine | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 208 | 198 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 111 | 107 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 92 | 92 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 48 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 47 | $0 |
Insurance plans in this area (ZIP 07451)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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