Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Evan T. Shack, MD

Individual provider Diagnostic Radiology Physician · NPI 1932193166

Dr. Evan T. Shack, MD is a Diagnostic Radiology in Voorhees, New Jersey. Qualified in 1996, 30 years ago. Practices with South Jersey Radiology Associates P A, a 200-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Carnie Blvd Ste B-5
Voorhees, NJ 08043-4512
Phone: (856) 751-0123
Fax: (856) 751-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA07398800 (NJ)

Record details

NPI number1932193166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2005
Last updated in NPPESSeptember 27, 2012
Mailing addressPo Box 1710, South Jersey Radiology Associates, Pa, Voorhees, NJ 08043-7710

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice South Jersey Radiology Associates P A — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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