| Mrs Henna S Shah, APN | |
|
107 Monmouth Rd Ste 102, West Long Branch, NJ 07764-1021 | |
| (732) 641-3350 | |
| Not Available |
| Full Name | Mrs Henna S Shah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 107 Monmouth Rd Ste 102, West Long Branch, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629517925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR18059800 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00724700 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Cosmetic Center Pllc | 0244600807 | 7 |
| Entity Name | Dermatology & Cosmetic Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811605660 PECOS PAC ID: 0244600807 Enrollment ID: O20221223001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Henna S Shah, APN 1 Bridge Ave Apt 201, Red Bank, NJ 07701-1537 Ph: (248) 925-0923 | Mrs Henna S Shah, APN 107 Monmouth Rd Ste 102, West Long Branch, NJ 07764-1021 Ph: (732) 641-3350 |
Amanda Tormollan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Highway 36 Ste 2k, West Long Branch, NJ 07764 Phone: 732-531-6600 | |
Brittany Nicole Piccillo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 842 Broadway Ste 2, West Long Branch, NJ 07764 Phone: 732-272-1456 | |
Ms. Susanne Roberts, R.N., N.P.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1019 Broadway, West Long Branch, NJ 07764 Phone: 732-229-6797 Fax: 732-229-6893 | |
Louise Juliette Bosmans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Cedar Ave, West Long Branch, NJ 07764 Phone: 732-571-3464 Fax: 732-263-5353 | |
Laura B. Brooks, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Cedar Ave, West Long Branch, NJ 07764 Phone: 732-571-3464 | |
Danielle Marie Donato, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1019 Broadway, West Long Branch, NJ 07764 Phone: 732-229-6797 | |
Kaitlyn Ann Reiff, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hwy 36 Ste 1a, West Long Branch, NJ 07764 Phone: 732-229-6200 Fax: 732-229-6201 |