Active NPIIndividual provider

Shannon Shah, NP

Nurse Practitioner, Adult Health in Englewood, New Jersey

NPI Number1376067496
Practice location
350 Engle St, Englewood, NJ 07631-1808
Fax
—
Last updated
May 5, 2025

Shannon Shah is a Nurse Practitioner, Adult Health based in Englewood, NJ. Shannon Shah practices in Englewood, NJ and has the professional credentials of NP. The NPI Number for Shannon Shah is 1376067496 and holds a License No. F308256 (NY). The current practice location address for Shannon Shah is 350 Engle St, Englewood, NJ 07631-1808 and can be reached out via phone at 201-894-3636.

Provider Profile Details

NPI Number
1376067496
Provider Name
Shannon Shah
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St, Englewood, NJ 07631-1808
Phone Number
201-894-3636
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2017
Last Update Date
May 5, 2025
Certification Date
May 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St
Englewood, NJ 07631-1808
Zip
07631-1808
Phone Number
201-894-3636
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4028
City
Middletown
State
NY
Zip
10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number (1)
F308256
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ00913700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Shah, NP?

The NPI number of Shannon Shah, NP is 1376067496. It was assigned on July 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Shannon Shah, NP?

Shannon Shah, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number F308256.

Where does Shannon Shah, NP practice?

The practice location is 350 Engle St, Englewood, NJ 07631-1808. The office can be reached at 201-894-3636 (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 1376067496 directly on the NPPES registry website.

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