PATRICIA SHADEK (NPI# 1720178999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720178999 |
| Entity Type | Individual |
| Full Name | PATRICIA SHADEK |
| Credential | APN |
| Practice Address |
25 Lindsley Dr Ste 203 Morristown NJ 07960 |
| Mailing Address |
25 Lindsley Dr Ste 203 Morristown NJ 07960-4456 |
| Practice Telephone | 9739987900 |
| Practice Fax Number | 9739987910 |
| Mailing Telephone | 9739987900 |
| Mailing Fax Number | 9739987910 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
26NN05668100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Prospect Ave, Faculty Practice, Hackensack, NJ 076011914 | 2014413349 |
| Street Address |
25 LINDSLEY DR STE 203 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852159 | Margaret Hynes | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2020-08-21 |
| 1639704448 | Danielle Deprimio | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2020-03-12 |
| 1710512520 | Brian Joseph Carreira | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2020-03-12 |
| 1427612944 | Susan Sutton Wolf | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2019-04-30 |
| 1487115093 | Amy Rossi | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2019-03-27 |
| 1811460124 | Sara Melberger | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960 | 2019-01-09 |
| 1215416912 | Maria E Palamara | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2018-08-13 |
| 1821577586 | Patricia M Betz | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960 | 2018-08-13 |
| 1326527672 | Tedisha Tamora Murray | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960 | 2018-08-08 |
| 1144719766 | Karla Boertzel | Counselor | 25 Lindsley Dr Ste 203, Morristown, NJ 07960-4456 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119105 | Nancy Cursi-vogle | Clinical Nurse Specialist | 16 Kayser Ln, West Orange, NJ 07052-1151 | 2018-10-08 |
| 1841565801 | Well Path, LLC. | Clinical Nurse Specialist | 110 Sylvan Ave, Gloucester City, NJ 08030-1634 | 2012-03-09 |
| 1659543684 | Karen Angela Maxim | Clinical Nurse Specialist | 314 East State Street, Trenton, NJ 08608 | 2008-03-31 |
| 1225229321 | Wellness Group of New Jersey | Clinical Nurse Specialist | 400d Lake St, Suite 2, Ramsey, NJ 07446-1279 | 2007-08-05 |
| 1902027121 | Sue Kujalowicz | Clinical Nurse Specialist | 1935 Axton Ave, Union, NJ 07083 | 2007-05-02 |
| 1326261819 | Rosemarie G Marcus | Clinical Nurse Specialist | 240 Frisch Ct, Childrens Aid & Family Services Inc, Paramus, NJ 07652-5248 | 2007-04-11 |
| 1083762173 | Carol Joan Goldblatt I | Clinical Nurse Specialist | 117-119 Roosevelt Ave, Plainfield, NJ 07060 | 2007-01-08 |
| 1932277241 | Suzanne Drake | Clinical Nurse Specialist | 400 D Lake Street, Suite 2, Ramsey, NJ 07446-1243 | 2006-12-04 |
| 1740354554 | Mary Ann Lancaster | Clinical Nurse Specialist | 500 North Bridge Street, Richard Hall Community Mental Health Center, Bridgewater, NJ 08807 | 2006-11-20 |
| 1700970837 | Kathleen Anne Nielsen | Clinical Nurse Specialist | 15 State Route 15, Lafayette, NJ 07848-2007 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on PATRICIA SHADEK.
| 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.