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

Robin Leslie Shore, DO

Individual provider Emergency Medicine Physician · NPI 1689623670

Robin Leslie Shore, DO is an Emergency Medicine in Ridgewood, New Jersey. Graduated from Nova Southeastern College of Osteo Medicine in 1990, 36 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
36
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

223 N Van Dien Avenue The Valley Hospital
Ridgewood, NJ 07450
Phone: (201) 444-2019
Fax: (201) 444-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB06022000 (NJ)

Record details

NPI number1689623670
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESAugust 15, 2016
Mailing addressPo Box 1173, Valley Emergency Room Associates Pa, Ridgewood, NJ 07451

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1990 (36 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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