Active NPIIndividual providerSole proprietor

Shannon M Dorgan

Nurse Practitioner, Family in Hazlet, New Jersey

NPI Number1992302798
Practice location
3253 State Route 35, Hazlet, NJ 07730-1544
Fax
—
Last updated
May 14, 2024

Shannon Margaret Dorgan is a Nurse Practitioner, Family based in Hazlet, NJ. Shannon Margaret Dorgan practices in Hazlet, NJ. The NPI Number for Shannon Margaret Dorgan is 1992302798 and holds a License No. 26NJ01055800 (NJ). The current practice location address for Shannon Margaret Dorgan is 3253 State Route 35, Hazlet, NJ 07730-1544 and can be reached out via phone at 732-888-7646.

Provider Profile Details

NPI Number
1992302798
Provider Name
Shannon Margaret Dorgan
Provider Entity Type
Individual
Gender
Female
Address
3253 State Route 35, Hazlet, NJ 07730-1544
Phone Number
732-888-7646
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2020
Last Update Date
May 14, 2024
Certification Date
May 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3253 State Route 35
Hazlet, NJ 07730-1544
City
Hazlet
Zip
07730-1544
Phone Number
732-888-7646
Hazlet, NJ 07730Get directions →

Provider Business Mailing Address Details

Address
Po Box 8519
Red Bank, NJ 07701-8519
City
Red Bank
State
NJ
Zip
07701-8519
Phone Number
732-460-9840

License Information

License Number
26NJ01055800
License State
NJ
Taxonomy
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 M Dorgan?

The NPI number of Shannon M Dorgan is 1992302798. It was assigned on October 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Shannon M Dorgan?

Shannon M Dorgan is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01055800.

Where does Shannon M Dorgan practice?

The practice location is 3253 State Route 35, Hazlet, NJ 07730-1544. The office can be reached at 732-888-7646 (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 1992302798 directly on the NPPES registry website.

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