Shane W Conaway (NPI# 1447728217, PAC ID# 4688914583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1447728217 |
| PAC ID by PECOS | 4688914583 |
| Professional Enrollment ID | I20190702001844 |
| Full Name | Shane W Conaway |
| Organization Legal Name | NJ MEMORY AND BEHAVIORAL CARE |
| Address |
195 Mountain Ave Springfield NJ 07081-1755 |
| Phone Number | 9732956335 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7719013267 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 | 9732956335 | NJ MEMORY AND BEHAVIORAL CARE |
| 195 Mountain Ave, Springfield, NJ 07081-1755 | 9732956335 | NJ MEMORY AND BEHAVIORAL CARE |
| Organization Legal Name | NJ MEMORY AND BEHAVIORAL CARE |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Nashif | Physician Assistant | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Jennifer A Vogel | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Emmanuel K Adjin | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Priscilla L Duerstock | Physician Assistant | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Carline Archille | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Elizabeth M Corvino | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Colleen Geller | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Lynn C Omalley | Nurse Practitioner | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Eva Kao | Nurse Practitioner | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Kimberly F Tulloch | Nurse Practitioner | Nj Memory and Behavioral Care | 14 Ridgedale Ave, Suite 103, Cedar Knolls, NJ 07927-1106 |
| Street Address |
195 MOUNTAIN AVE |
| City | SPRINGFIELD |
| State | NJ |
| Zip | 07081-1755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Nashif | Physician Assistant | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Rachael E Felsenfeld | Psychologist, Clinical | The Cognitive and Research Center of New Jersey LLC | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Priscilla L Duerstock | Physician Assistant | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Lynn C Omalley | Nurse Practitioner | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Michelle Papka Puri | Psychologist, Clinical | The Cognitive and Research Center of New Jersey LLC | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Eva Kao | Nurse Practitioner | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Roger M Kurlan | Neurology | 195 Mountain Ave, Springfield, NJ 07081-1755 | |
| Unnati D Patel | Psychiatry | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Maria Miralda-tena | Physician Assistant | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Phyllis L Fishbein | Nurse Practitioner | Nj Memory and Behavioral Care | 195 Mountain Ave, Springfield, NJ 07081-1755 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olga Byalik | Obstetrics/gynecology | 90 Rt, 22w, Springfield, NJ 07081 | |
| Stephen Daniel Defronzo | Infectious Disease | 216 Short Hills Ave, Springfield, NJ 07081-1010 | |
| Sarah Haller | Podiatry | Essex Union Podiatry LLP | 500 Morris Ave, Suite 203, Springfield, NJ 07081-1020 |
| Hayley M Cohen | Psychiatry | 28 Millburn Ave, Suite 3, Springfield, NJ 07081-1023 | |
| Elissa L Savrin | Psychologist, Clinical | 28 Millburn Ave, Suite 1, Springfield, NJ 07081-1023 | |
| Susan D Marx | Psychologist, Clinical | 28 Millburn Ave, Suite 6, Springfield, NJ 07081-1023 | |
| Kara Simon Jablonka | Clinical Social Worker | 28 Millburn Ave, Suite 7, Springfield, NJ 07081-1023 | |
| Jed E Baker | Psychologist, Clinical | 28 Millburn Ave, Suite 7, Springfield, NJ 07081-1023 | |
| Lori Rosenberg | Psychologist, Clinical | 535 Morris Ave, Suite 4, Springfield, NJ 07081-1025 | |
| Amanda Mcgrath | Physical Therapy | Advanced Rehab Solutions LLC | 505 Morris Ave, Suite 103, Springfield, NJ 07081-1032 |
| Find all physicians in zip 07081 | |||
| City | SPRINGFIELD |
| Zip Code | 07081 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shane W Conaway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.