DR. ANDREW J SHANAHAN (NPI# 1881635084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881635084 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J SHANAHAN |
| Credential | MD |
| Practice Address |
731 Alexander Rd 202 Princeton NJ 08540-6345 |
| Practice Telephone | 6099217456 |
| Practice Fax Number | 6099212972 |
| Mailing Telephone | 6099217456 |
| Mailing Fax Number | 6099212972 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA63732 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HEALTHNET | F10830 | 01 |
| NJ | 6956106 | 05 | |
| GHI | 141188 | 01 | |
| NJ | AMERIHEALTH PPO | 874621 | 01 |
| OXFORD | P711524 | 01 | |
| NJ | UNITED HEALTHCARE | 1481871 | 01 |
| NJ | MEDICARE RAILROAD | 60058075 | 01 |
| NJ | AETNA | 940913 | 01 |
| CIGNA | 2905975012 | 01 | |
| AMERIHEALTH | 0989950000 | 01 |
| Street Address |
731 ALEXANDER RD 202 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179252 | Robert F Meirowitz | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2005-07-26 |
| 1689964546 | Aaron Bellows | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2011-04-13 |
| 1396970208 | Desiree Marie Younes | Internal Medicine | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2009-05-20 |
| 1164665998 | Amy Rubin Shriver | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2009-04-09 |
| 1659390193 | Lynne Becker Kossow | Internal Medicine | 731 Alexander Rd, Ste 200, Princeton, NJ 08540-6345 | 2006-07-18 |
| 1912926452 | Barbara Ann Brown | Internal Medicine | 731 Alexander Rd, Suite 200, Princeton, NJ 08540 | 2006-07-18 |
| 1760422489 | Johnathan B Mccabe | Specialist | 731 Alexander Rd, 202, Princeton, NJ 08540-6345 | 2006-06-08 |
| 1417904509 | Banu Mahalingham | Specialist | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2006-05-27 |
| 1578525283 | Princeton Endoscopy Center LLC | Clinic/Center | 731 Alexander Rd, Suite 104, Princeton, NJ 08540-6345 | 2006-04-06 |
| 1396746962 | Princeton Gastroenterology Assoc | Internal Medicine | 731 Alexander Rd, Suite 100, Princeton, NJ 08540-6345 | 2005-08-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1841611464 | Bright Life Farms, Inc | Specialist | 10200 Farmersville Rd, Princeton, KY 42445-5340 | 2013-12-27 |
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| 1730439712 | Jo Ann Noxon Laveman | Specialist | 16 E Countryside Dr, Princeton, NJ 08540-9406 | 2012-09-17 |
| 1023363827 | A & E Anesthesia Associate LLC | Specialist | 601 Ewing Street, Suite C-3, Princeton, NJ 08540 | 2012-07-17 |
| 1982983995 | Steven Lee Collins | Specialist | 313 Court House Road Suite 2, Princeton, WV 24739 | 2011-08-08 |
| 1558652297 | Steven Lee Terry | Specialist | 201 Wallace St, Princeton, WV 24740-2754 | 2011-04-28 |
| 1366671745 | Bonnie G Carter | Specialist | 108 Mill St, Princeton, ME 04668-3344 | 2009-07-07 |
| 1407080229 | Valeria Malone Jones | Specialist | 116 S. Center St., Princeton, NC 27569 | 2009-05-07 |
| 1760641757 | Ivy League Health & Fitness | Specialist | 66 Witherspoon St, Princeton, NJ 08542-3239 | 2008-06-04 |
| 1780874370 | Joseph Orthopedic Surgery, P.a. | Specialist | 1808 Sherman Dr Ste 2203, Princeton, IN 47670-1043 | 2007-07-30 |
| Find all providers in PRINCETON | ||||
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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.