| Miss Shelly Clavis, RN, MSN, NP-C, FNP | |
|
337 Academy Ter, Linden, NJ 07036-5601 | |
| (201) 500-6992 | |
| (833) 605-4359 |
| Full Name | Miss Shelly Clavis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 337 Academy Ter, Linden, 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 |
|---|---|---|---|
| 1740524909 | NPI | - | NPPES |
| 0341151 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00402800 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00402800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Scleroderma Program | 5193764991 | 342 |
| Entity Name | Rutgers Health-rwj Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 9032174271 Enrollment ID: O20041130000005 |
| Entity Name | Rutgers Health-rwj Pediatric Critical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780766527 PECOS PAC ID: 1355390287 Enrollment ID: O20050119000070 |
| Entity Name | Rutgers Health-rwj Scleroderma Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679655781 PECOS PAC ID: 5193764991 Enrollment ID: O20050502000326 |
| Entity Name | Affinity Healthcare Group Cherry Hill Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003583733 PECOS PAC ID: 2961894480 Enrollment ID: O20220113000889 |
| Entity Name | Mental Health And Addiction Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831651876 PECOS PAC ID: 5193164614 Enrollment ID: O20240417001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Shelly Clavis, RN, MSN, NP-C, FNP 403 Hollywood Ave, Hillside, NJ 07205-2715 Ph: (973) 760-0707 | Miss Shelly Clavis, RN, MSN, NP-C, FNP 337 Academy Ter, Linden, NJ 07036-5601 Ph: (201) 500-6992 |
Sharon C Stewart, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Park Ave, Linden, NJ 07036 Phone: 570-688-5690 | |
Ms. Stacia Royes, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 N Wood Ave, Linden, NJ 07036 Phone: 908-587-9300 Fax: 908-587-1901 | |
Myung Kim, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 N Wood Ave # 6b, Linden, NJ 07036 Phone: 908-486-0990 | |
Megan Madara, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 N Wood Ave, Linden, NJ 07036 Phone: 908-925-9309 Fax: 908-925-7910 | |
Nicole Alexandria Pugh-martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 653 W Edgar Rd, Linden, NJ 07036 Phone: 610-905-3752 | |
Amal Samha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 W Saint Georges Ave, Linden, NJ 07036 Phone: 908-925-0363 | |
Bozena Lewicki, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122b University Ter, Linden, NJ 07036 Phone: 908-531-5487 |