DR. PENN P SHELLEY (NPI# 1700044021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700044021 |
| Entity Type | Individual |
| Full Name | DR. PENN P SHELLEY |
| Credential | MD |
| Practice Address |
4 Rolling Hill Drive Chatham NJ 07928-1642 |
| Practice Telephone | 9733773385 |
| Practice Fax Number | 9733601176 |
| Mailing Telephone | 9733773385 |
| Mailing Fax Number | 9733601176 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25MA01847300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4 ROLLING HILL DRIVE |
| City | CHATHAM |
| State | NJ |
| Zip Code | 07928-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410574 | Deborah Conway | Counselor | 10 Fairmount Ave., Chatham, NJ 07928 | 2019-04-24 |
| 1023537438 | Claire Elizabeth Shimchak | Specialist/Technologist | 188 Watchung Ave, Chatham, NJ 07928 | 2017-09-18 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1558769414 | Chatham Hills Subacute Care Center LLC | Skilled Nursing Facility | 17 Heathcliff Road, Chatham, NJ 07928 | 2014-12-09 |
| 1841509940 | Dimitry Polyakov | Physical Therapist | 13 Watchung Ave, Total Physical Therapy, Chatham, NJ 07928 | 2010-10-07 |
| 1851533731 | Robert Richard Springer | Internal Medicine | 18 Birch Hill Drive, Chatham, NJ 07928 | 2009-03-24 |
| 1104071208 | Robert M. Freda | Internal Medicine | 96 Meyersville Road, Chatham, NJ 07928 | 2008-11-18 |
| 1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
| 1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
| 1336269141 | Maryanne Carbone | Social Worker | 100 Noe Ave, Chatham, NJ 07928 | 2007-03-29 |
| Find all providers in zip 07928 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
| 1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.