DR. EILEEN MARIE SHANAHAN (NPI# 1083642508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083642508 |
| Entity Type | Individual |
| Full Name | DR. EILEEN MARIE SHANAHAN |
| Credential | M.D. |
| Practice Address |
253 Witherspoon St Princeton NJ 08540-3211 |
| Mailing Address |
350 Riverside Dr Princeton NJ 08540-5431 |
| Practice Telephone | 6094974351 |
| Practice Fax Number | 6094974982 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MA06912800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
253 WITHERSPOON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823778 | Andrew Hanyoung Kim | Anesthesiology | 253 Witherspoon St, Princeton Anesthesia Services, Princeton, NJ 08540-3211 | 2005-12-28 |
| 1083955967 | Caitlin M Werther | Nurse Practitioner | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2013-03-03 |
| 1932468014 | Maggie Moran | Counselor | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-05-10 |
| 1841559937 | Veronika Papp | Social Worker | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-05-09 |
| 1710252382 | Elizabeth Moore | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2012-03-15 |
| 1457654691 | Jennifer Windish | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2010-12-09 |
| 1043544182 | Rachel Huber | Dietitian, Registered | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-22 |
| 1114251436 | Allison Tara Lansky | Counselor | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-21 |
| 1770817090 | Margo Leigh Hurewitz | Psychologist | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2009-09-21 |
| 1477796811 | Jennifer Grantham Erskine | Internal Medicine | 253 Witherspoon St, Lambert House 2nd Floor, Princeton, NJ 08540-3211 | 2009-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
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| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1588179063 | Diosdado Non Medical Services LLC | Pathology | 525 Route 70 Ste 1f, Brick, NJ 08723-4022 | 2017-12-06 |
| 1205213402 | Andrew Myles Parrott | Pathology | 50 Rockledge Dr, Livingston, NJ 07039-1902 | 2015-04-27 |
| 1750672119 | Daniel Jonas Fix | Pathology | 30 Prospect Ave Dept Of, Hackensack, NJ 07601-1915 | 2011-04-20 |
| 1487978862 | Marina Penteado Sandoval | Pathology | 12 Canterbury Dr, North Caldwell, NJ 07006-4229 | 2010-03-15 |
| 1538321609 | Charles Theodore Ladoulis | Pathology | 5 Grand Tour, Locust, NJ 07760-2343 | 2008-06-30 |
| 1447371794 | Siucok O. Ang | Pathology | 69 First Ave, Raritan, NJ 08869 | 2007-04-03 |
| 1811078892 | Adnan Tabrez Savera | Pathology | 16 Quail Run, Florham Park, NJ 07932-1754 | 2006-10-18 |
| 1083709208 | Leza N Gallo | Pathology | Quest Diagnostics, 1 Malcolm Avenue, Teterboro, NJ 07608 | 2006-10-04 |
| 1972608313 | Adam Kuehn | Pathology | 3311 Brunswick Pike, Lawrenceville, NJ 08648 | 2006-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.