SHANNON SHAH (NPI# 1376067496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376067496 |
| Entity Type | Individual |
| Full Name | SHANNON SHAH |
| Credential | NP |
| Practice Address |
225 Summit Ave Montvale NJ 07645-1523 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 2126392000 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308256 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 SUMMIT AVE |
| City | MONTVALE |
| State | NJ |
| Zip Code | 07645-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891936779 | Olga Akselrod | Physician Assistant | 225 Summit Ave, Montvale, NJ 07645 | 2009-03-23 |
| 1841897824 | Jennifer Abillar-wright | Registered Nurse | 225 Summit Ave, Montvale, NJ 07645-1523 | 2020-10-03 |
| 1184263618 | Katrina Pizzichetta | Physical Therapist | 225 Summit Ave, Montvale, NJ 07645-1523 | 2020-01-01 |
| 1831757939 | Teresa Diaz | Nurse Practitioner | 225 Summit Ave, Montvale, NJ 07645-1523 | 2019-06-03 |
| 1558814657 | Msk Bergen | Radiology | 225 Summit Ave, Montvale, NJ 07645-1523 | 2016-07-26 |
| 1841650330 | Memorial Sloan Kettering Bergen | General Acute Care Hospital | 225 Summit Ave, Montvale, NJ 07645-1523 | 2016-02-26 |
| 1720456619 | Deirdre B. Casey | Nurse Practitioner | 225 Summit Ave, Montvale, NJ 07645 | 2015-09-09 |
| 1043606957 | Diana Aldona Roth O'brien | Radiology | 225 Summit Ave, Montvale, NJ 07645-1523 | 2015-04-08 |
| 1104169515 | Linda Chen | Radiology | 225 Summit Ave, Montvale, NJ 07645-1523 | 2013-04-03 |
| 1942576954 | Rui Wang | Internal Medicine | 225 Summit Ave, Montvale, NJ 07645 | 2012-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851954416 | Dong Heon Oh Dds PC | Dentist | 305 W Gand Avenue, Suite 600, Montvale, NJ 07645 | 2019-04-19 |
| 1053884999 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 East Grand Avenue, Montvale, NJ 07645 | 2019-01-03 |
| 1528547890 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9 Grand Avenue, Montvale, NJ 07645 | 2018-08-08 |
| 1255859658 | Wegmans Food Markets, Inc. | Pharmacy | 100 Farm View, Montvale, NJ 07645 | 2017-09-06 |
| 1700254810 | Dipal Patel | Physical Therapist | 15 Kinderkamack Road South, Montvale, NJ 07645 | 2015-09-04 |
| 1871912675 | Marvin E. Mayerson | Pharmacist | 11 Ellsworth Terrace, Montvale, NJ 07645 | 2014-04-09 |
| 1134426182 | Tri State Anesthesia, P.c | Anesthesiology | 133 N Kinderkamack Rd, Montvale, NJ 07645 | 2011-02-26 |
| 1336383637 | Ping Gu | Internal Medicine | 225 Summit Avenue, Montvale, NJ 07645 | 2009-04-30 |
| 1700058393 | Catherine Slutzky | Speech-Language Pathologist | 4 Woodland Road, St Paul's Episcopal Church, Montvale, NJ 07645 | 2008-03-24 |
| 1124206214 | Richard Charles Weiner | Podiatrist | 7 Montvale Ave, Montvale, NJ 07645 | 2008-01-31 |
| Find all providers in zip 07645 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON SHAH.
| 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.