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

Kyle Shaw

Individual provider Podiatrist · NPI 1710410899

Kyle Shaw is a Podiatry in Williamstown, New Jersey. Graduated from Temple University School of Podiatric Medicine in 2017, 9 years ago. Practices with Dr Christopher M Larosa LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
9
Trained at
Temple University School of Podiatric Medicine
Licensed in
NJ, PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

364 Berlin Cross Keys Rd
Williamstown, NJ 08094-3473
Phone: (856) 994-0004
Fax: (856) 497-5133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD00355700 (NJ)
Podiatrist Taxonomy 213E00000X · Licence SC007080 (PA)

Record details

NPI number1710410899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address134 Bridgeton Pike Ste C, Mullica Hill, NJ 08062-2616

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Dr. Christopher M Larosa Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamstown