SHANNON LYNN GINGERELLI (NPI# 1609073576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609073576 |
| Entity Type | Individual |
| Full Name | SHANNON LYNN GINGERELLI |
| Credential | A.P.N.-C |
| Practice Address |
11 Saddle Rd Cedar Knolls NJ 07927-1901 |
| Practice Telephone | 9732672122 |
| Practice Fax Number | 9732674434 |
| Mailing Telephone | 9732672122 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00131500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | REGISTERED NURSE LICENSE | 26NR10613300 | 01 |
| NJ | ADV. NURSE PRAC. LICENSE | 26NJ00131500 | 01 |
| Street Address |
11 SADDLE RD |
| City | CEDAR KNOLLS |
| State | NJ |
| Zip Code | 07927-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376588558 | Ira P Monka | Family Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2006-06-19 |
| 1689183675 | Amber Lauren Mason | Nurse Practitioner | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2017-09-22 |
| 1205222437 | Preethi Kumar | Family Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2015-04-14 |
| 1952673535 | Nerlande Joasil | Nurse Practitioner | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2012-01-30 |
| 1760778633 | Suzanne Tepper | Family Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2011-06-20 |
| 1457513319 | Brian Patrick Feehan | Internal Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2008-07-01 |
| 1932249356 | Stacy Reed Mevs | Family Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927 | 2007-02-07 |
| 1225180482 | The Medical Institute of New Jersey, P.C. | Family Medicine | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2007-01-17 |
| 1568566834 | Advanced Foot and Ankle Surgeons Corp. | Podiatrist | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2006-09-08 |
| 1639100530 | Jonathan L Goodman | Radiology | 11 Saddle Rd, Cedar Knolls, NJ 07927-1901 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459587 | Casey Solana | Pharmacist | Schralt's 2.0 LLC Pharmacy, 3 Wing Drive Suite 102, Cedar Knolls, NJ 07927 | 2019-10-28 |
| 1134760077 | Victoria Khavulya | Pharmacist | 3 Wing Dr, Ste 102, Cedar Knolls, NJ 07927 | 2019-10-02 |
| 1447891478 | Jennifer Cela | Registered Nurse | 3 Wing Drive Suite 102, Schraft's 2.0 Pharmacy LLC, Cedar Knolls, NJ 07927 | 2019-10-01 |
| 1578082079 | Towne Drugs LLC | Durable Medical Equipment & Medical Supplies | 103 Ridgedale Avenue, Cedar Knolls, NJ 07927 | 2017-09-15 |
| 1740615079 | Kenneth Simms | Physical Therapist | 197 Ridgedale Ave Suite 155, Cedar Knolls, NJ 07927 | 2013-09-05 |
| 1356775027 | Kristina E Warchol | Physical Therapist | 197 Ridgedale Ave. Suite155, Cedar Knolls, NJ 07927 | 2013-08-29 |
| 1982043857 | Samuel Torres Dona Jr. | Physical Medicine & Rehabilitation | 197 Ridgedale Ave Ste 300, Cedar Knolls, NJ 07927 | 2013-06-24 |
| 1144565292 | Lindsay H. Chambers | Physical Therapist | 197 Ridedale Ave., Suite 155, Cedar Knolls, NJ 07927 | 2012-11-30 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1225369671 | James O'rourke Physical Therapy, LLC. | Physical Therapist | 8 Ridgedale Ave, Cedar Knolls, NJ 07927 | 2010-01-25 |
| Find all providers in zip 07927 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568817054 | Alexandra Lev | Nurse Practitioner | 65 Ridgedale Ave, Cedar Knolls, NJ 07927-1313 | 2016-05-03 |
| 1316310568 | Colleen M Geller | Nurse Practitioner | 14 Ridgedale Ave Ste 103, Cedar Knolls, NJ 07927-1106 | 2015-11-10 |
| 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 | ||||
| City | CEDAR KNOLLS |
| Zip Code | 07927 |
Please comment or provide details below to improve the information on SHANNON LYNN GINGERELLI.
| 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.