Darrell P Shoulars, MA, MA
Clinic/Center, Developmental Disabilities in Newark, New Jersey
1609422393- Practice location
- 10 N End Ter, Newark, NJ 07104-4404
- Phone
- 862-704-3524
- Fax
- —
- Last updated
- August 17, 2019
Darrell Peter Shoulars is a Clinic/Center, Developmental Disabilities based in Newark, NJ. Darrell Peter Shoulars practices in Newark, NJ and has the professional credentials of MA, MA. The NPI Number for Darrell Peter Shoulars is 1609422393 and holds a License No. 778909 (NJ). The current practice location address for Darrell Peter Shoulars is 10 N End Ter, Newark, NJ 07104-4404 and can be reached out via phone at 862-704-3524.
Provider Profile Details
- NPI Number
- 1609422393
- Provider Name
- Darrell Peter Shoulars
- Credential
- MA, MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 N End Ter, Newark, NJ 07104-4404
- Phone Number
- 862-704-3524
- Primary Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2019
- Last Update Date
- August 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 N End Ter
Newark, NJ 07104-4404 - City
- Newark
- State
- New Jersey
- Zip
- 07104-4404
- Phone Number
- 862-704-3524
Provider Business Mailing Address Details
- Address
- 10 N End Ter
Newark, NJ 07104-4404 - City
- Newark
- State
- NJ
- Zip
- 07104-4404
- Phone Number
- 862-704-3524
License Information
- License Number
- 778909
- License State
- NJ
- Taxonomy
- Clinic/Center, Developmental Disabilities · 261QD1600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Darrell P Shoulars, MA, MA?
The NPI number of Darrell P Shoulars, MA, MA is 1609422393. It was assigned on August 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Darrell P Shoulars, MA, MA?
Darrell P Shoulars, MA, MA is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X), licensed in NJ under license number 778909.
Where does Darrell P Shoulars, MA, MA practice?
The practice location is 10 N End Ter, Newark, NJ 07104-4404. The office can be reached at 862-704-3524 (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 1609422393 directly on the NPPES registry website.