Active NPIIndividual provider

Shane R Wittkop, BA

Case Manager/Care Coordinator in Trenton, New Jersey

NPI Number1215782693
Practice location
3535 Quakerbridge RD Ste 300, Trenton, NJ 08619-1200
Fax
609-337-2706
Last updated
April 19, 2024

Shane Raymond Wittkop is a Case Manager/Care Coordinator based in Trenton, NJ. Shane Raymond Wittkop practices in Trenton, NJ and has the professional credentials of BA. The NPI Number for Shane Raymond Wittkop is 1215782693. The current practice location address for Shane Raymond Wittkop is 3535 Quakerbridge RD Ste 300, Trenton, NJ 08619-1200 and can be reached out via phone at 609-249-4645 and via fax at 609-337-2706.

Provider Profile Details

NPI Number
1215782693
Provider Name
Shane Raymond Wittkop
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
3535 Quakerbridge RD Ste 300, Trenton, NJ 08619-1200
Phone Number
609-249-4645
Fax Number
609-337-2706
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2024
Last Update Date
April 19, 2024
Certification Date
April 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3535 Quakerbridge RD Ste 300
Trenton, NJ 08619-1200
Zip
08619-1200
Phone Number
609-249-4645
Fax Number
609-337-2706
Trenton, NJ 08619Get directions →

Provider Business Mailing Address Details

Address
3535 Quakerbridge RD Ste 300
Trenton, NJ 08619-1200
City
Trenton
State
NJ
Zip
08619-1200
Phone Number
609-249-4645
Fax Number
609-337-2706

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · 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 Shane R Wittkop, BA?

The NPI number of Shane R Wittkop, BA is 1215782693. It was assigned on April 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Shane R Wittkop, BA?

Shane R Wittkop, BA is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Shane R Wittkop, BA practice?

The practice location is 3535 Quakerbridge RD Ste 300, Trenton, NJ 08619-1200. The office can be reached at 609-249-4645 (phone) or 609-337-2706 (fax).

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 1215782693 directly on the NPPES registry website.

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