Active NPIIndividual provider

Shannon Khulusi, NP

Nurse Practitioner, Family in Eatontown, New Jersey

NPI Number1932240603
Practice location
142 State Route 35 S, Eatontown, NJ 07724-1876
Fax
732-389-1850
Last updated
February 28, 2025

Shannon Khulusi is a Nurse Practitioner, Family based in Eatontown, NJ. Shannon Khulusi practices in Eatontown, NJ and has the professional credentials of NP. The NPI Number for Shannon Khulusi is 1932240603 and holds a License No. 26NJ00061500 (NJ). The current practice location address for Shannon Khulusi is 142 State Route 35 S, Eatontown, NJ 07724-1876 and can be reached out via phone at 732-389-5004 and via fax at 732-389-1850.

Provider Profile Details

NPI Number
1932240603
Provider Name
Shannon Khulusi
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
142 State Route 35 S, Eatontown, NJ 07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2007
Last Update Date
February 28, 2025
Certification Date
February 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
142 State Route 35 S
Eatontown, NJ 07724-1876
Zip
07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
142 State Route 35 S
Eatontown, NJ 07724-1876
City
Eatontown
State
NJ
Zip
07724-1876
Phone Number
732-389-5004
Fax Number
732-389-1850

License Information

License Number (1)
26NJ00061500
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
26NJ00061500
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Khulusi, NP?

The NPI number of Shannon Khulusi, NP is 1932240603. It was assigned on February 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Shannon Khulusi, NP?

Shannon Khulusi, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00061500.

Where does Shannon Khulusi, NP practice?

The practice location is 142 State Route 35 S, Eatontown, NJ 07724-1876. The office can be reached at 732-389-5004 (phone) or 732-389-1850 (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 1932240603 directly on the NPPES registry website.

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