Active NPIIndividual provider

Shaun Dougherty, RN

Registered Nurse, Critical Care Medicine in Hackensack, New Jersey

NPI Number1023851581
Practice location
30 Prospect Ave, Hackensack, NJ 07601-1915
Fax
—
Last updated
June 13, 2024

Shaun Dougherty is a Registered Nurse, Critical Care Medicine based in Hackensack, NJ. Shaun Dougherty practices in Hackensack, NJ and has the professional credentials of RN. The NPI Number for Shaun Dougherty is 1023851581 and holds a License No. 26NR20882400 (NJ). The current practice location address for Shaun Dougherty is 30 Prospect Ave, Hackensack, NJ 07601-1915 and can be reached out via phone at 551-996-2000.

Provider Profile Details

NPI Number
1023851581
Provider Name
Shaun Dougherty
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
30 Prospect Ave, Hackensack, NJ 07601-1915
Phone Number
551-996-2000
Primary Taxonomy
Registered Nurse, Critical Care Medicine · 163WC0200X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2024
Last Update Date
June 13, 2024
Certification Date
June 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Prospect Ave
Hackensack, NJ 07601-1915
Zip
07601-1915
Phone Number
551-996-2000
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
78 Hampshire Hill RD
Upper Saddle River, NJ 07458-1106
City
Upper Saddle River
State
NJ
Zip
07458-1106
Phone Number
917-574-0002

License Information

License Number
26NR20882400
License State
NJ
Taxonomy
Registered Nurse, Critical Care Medicine · 163WC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shaun Dougherty, RN?

The NPI number of Shaun Dougherty, RN is 1023851581. It was assigned on June 13, 2024 and is currently active in the NPPES registry.

What is the specialty of Shaun Dougherty, RN?

Shaun Dougherty, RN is registered under the primary taxonomy Registered Nurse, Critical Care Medicine (code 163WC0200X), licensed in NJ under license number 26NR20882400.

Where does Shaun Dougherty, RN practice?

The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1915. The office can be reached at 551-996-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023851581 directly on the NPPES registry website.

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