Active NPIIndividual providerSole proprietor

Shantise Parker

Prosthetic/Orthotic Supplier in Maplewood, New Jersey

NPI Number1881458792
Practice location
2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716
Fax
—
Last updated
February 12, 2024

Shantise Parker is a Prosthetic/Orthotic Supplier based in Maplewood, NJ. Shantise Parker practices in Maplewood, NJ. The NPI Number for Shantise Parker is 1881458792. The current practice location address for Shantise Parker is 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716 and can be reached out via phone at 973-901-3640.

Provider Profile Details

NPI Number
1881458792
Provider Name
Shantise Parker
Provider Entity Type
Individual
Gender
Female
Address
2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716
Phone Number
973-901-3640
Primary Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 12, 2024
Last Update Date
February 12, 2024
Certification Date
February 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716
Zip
07040-3716
Phone Number
973-901-3640
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
1128 N Stiles St # A
Linden, NJ 07036-6122
City
Linden
State
NJ
Zip
07036-6122
Phone Number
973-901-3640

License Information

Taxonomy
Prosthetic/Orthotic Supplier · 335E00000X · 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 Shantise Parker?

The NPI number of Shantise Parker is 1881458792. It was assigned on February 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Shantise Parker?

Shantise Parker is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X).

Where does Shantise Parker practice?

The practice location is 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716. The office can be reached at 973-901-3640 (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 1881458792 directly on the NPPES registry website.

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