Active NPIIndividual provider

Shannon Gayner, PA

Physician Assistant, Medical in Manahawkin, New Jersey

NPI Number1285110015
Practice location
115 E Bay Ave, Manahawkin, NJ 08050-3109
Fax
609-597-4656
Last updated
May 12, 2025

Shannon Gayner is a Physician Assistant, Medical based in Manahawkin, NJ. Shannon Gayner practices in Manahawkin, NJ and has the professional credentials of PA. The NPI Number for Shannon Gayner is 1285110015 and holds a License No. 25MP00475900 (NJ). The current practice location address for Shannon Gayner is 115 E Bay Ave, Manahawkin, NJ 08050-3109 and can be reached out via phone at 609-971-3300 and via fax at 609-597-4656.

Provider Profile Details

NPI Number
1285110015
Provider Name
Shannon Gayner
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
115 E Bay Ave, Manahawkin, NJ 08050-3109
Phone Number
609-971-3300
Fax Number
609-597-4656
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2018
Last Update Date
May 12, 2025
Certification Date
May 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 E Bay Ave
Manahawkin, NJ 08050-3109
Zip
08050-3109
Phone Number
609-971-3300
Fax Number
609-597-4656
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
35 Beaverson Blvd Ste 8C
Brick, NJ 08723-7861
City
Brick
State
NJ
Zip
08723-7861
Phone Number
732-262-4262
Fax Number
732-262-4317

License Information

License Number
25MP00475900
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Shannon Gayner, PA?

The NPI number of Shannon Gayner, PA is 1285110015. It was assigned on July 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Shannon Gayner, PA?

Shannon Gayner, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00475900.

Where does Shannon Gayner, PA practice?

The practice location is 115 E Bay Ave, Manahawkin, NJ 08050-3109. The office can be reached at 609-971-3300 (phone) or 609-597-4656 (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 1285110015 directly on the NPPES registry website.

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