DR. EVAN T. SHACK MD NPI 1932193166

NPI Information

  • NPI: 1932193166
  • Provider Name: DR. EVAN T. SHACK, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 CARNIE BLVD
    SUITE B-5
    VOORHEES, NJ
    ZIP 08043
  • Phone: (856) 751-0123

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NPI Details

DR. Evan T. Shack, MD is a diagnostic radiology radiology in Voorhees, NJ with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Evan T. Shack, MD NPI is 1932193166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1996

The provider's business location address is:

100 CARNIE BLVD
SUITE B-5
VOORHEES, NJ
ZIP 08043-512
Phone: (856) 751-0123
Fax: (856) 751-0535

The NPI 1932193166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of heart with evaluation of blood vessel calcium (HCPCS:75571)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Single contrast x-ray of upper digestive tract (HCPCS:74240)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of both hips, 3-4 views (HCPCS:73522)

The enumeration date for this NPI number is 9/2/2005 and was last updated on 9/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology25MA07398800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11163572OTHERHORIZON NJ HEALTH
2SH1433148OTHERPREMIER BLUE
32117877000OTHERAMERIHEALTH
42201310OTHERUNITED HEALTHCARE
52978264OTHERAETNA
6300131187OTHERRAILROAD MEDICARE
7SH1433148OTHERHIGHMARK PA BLUE SHIELD
8H34868MEDICARE UPINNEW JERSEY
9057312A2DMEDICARE PINNEW JERSEY
10A3738029OTHEROXFORD HEALTH
118839301MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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