Shannon F Shah (NPI# 1376067496, PAC ID# 3971875451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376067496 |
| PAC ID by PECOS | 3971875451 |
| Professional Enrollment ID | I20190806000034 |
| Full Name | Shannon F Shah |
| Organization Legal Name | MSK BERGEN |
| Address |
225 Summit Ave Montvale NJ 07645-1523 |
| Phone Number | 9085423336 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456614114 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330154 | MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES |
| Address | Phone | Organization |
|---|---|---|
| 225 Summit Ave, Montvale, NJ 07645-1523 | 9085423336 | MSK BERGEN |
| Organization Legal Name | MSK BERGEN |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Hajj | Radiation Oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Kristen O'hagan | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Jessica Gross | Physician Assistant | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Isabel R Preeshagul | Medical Oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Christine S Iovino | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Joanne M Wells | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Cara L Fleming | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Deirdre B Casey | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Paulette M Kelly | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Lisania I Milli | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Street Address |
225 SUMMIT AVE |
| City | MONTVALE |
| State | NJ |
| Zip | 07645-1523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Hajj | Radiation Oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Kristen O'hagan | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Jessica Gross | Physician Assistant | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Isabel R Preeshagul | Medical Oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Christine S Iovino | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Joanne M Wells | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Cara L Fleming | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Deirdre B Casey | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Paulette M Kelly | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Lisania I Milli | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanjay Tewari | Anesthesiology | 133 N Kinderkamack Rd, Montvale, NJ 07645-1313 | |
| Julia P Brockway-marchello | Medical Oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Andrew L Laccetti | Hematology/oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Olga A Akselrod | Physician Assistant | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Rui Wang | Hematology/oncology | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Barbara A Seidel | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Deirdre M Kiernan | Physician Assistant | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Amy E Pierre | Nurse Practitioner | Msk Bergen | 225 Summit Ave, Montvale, NJ 07645-1523 |
| Willie Mae Murphy | Clinical Social Worker | 210 Summit Ave, Suite A10, Montvale, NJ 07645-1526 | |
| Cheryl Golub | Clinical Social Worker | 210 Summit Ave, A9, Montvale, NJ 07645-1526 | |
| Find all physicians in zip 07645 | |||
| City | MONTVALE |
| Zip Code | 07645 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MONTVALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon F Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.