Active NPIIndividual providerSole proprietor

Shannon Eccles, DO

Pediatrics in Livingston, New Jersey

NPI Number1386179083
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5672
Fax
—
Last updated
August 21, 2017

Shannon Eccles is a Pediatrics based in Livingston, NJ. Shannon Eccles practices in Livingston, NJ and has the professional credentials of DO. The NPI Number for Shannon Eccles is 1386179083 and holds a License No. OS018661 (PA). The current practice location address for Shannon Eccles is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-5000.

Provider Profile Details

NPI Number
1386179083
Provider Name
Shannon Eccles
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
94 Old Short Hills RD, Livingston, NJ 07039-5672
Phone Number
973-322-5000
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2017
Last Update Date
August 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
Zip
07039-5672
Phone Number
973-322-5000
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039
City
Livingston
State
NJ
Zip
07039

License Information

License Number (1)
OS018661
License State (1)
PA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MB10151000
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · 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 Eccles, DO?

The NPI number of Shannon Eccles, DO is 1386179083. It was assigned on May 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Shannon Eccles, DO?

Shannon Eccles, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in PA under license number OS018661.

Where does Shannon Eccles, DO practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-5000 (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 1386179083 directly on the NPPES registry website.

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