Shantay Monique Dinks-Brown, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08341100 Issued in NJ

Practice address

817 Federal St
Camden, NJ 08103-1539

Phone

(856) 541-8217

Fax

(856) 541-4611

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1013112390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N. DELAWARE ST",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661367",
            "telephone_number": "856-687-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-541-8217",
            "fax_number": "856-541-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKS-BROWN",
        "first_name": "SHANTAY",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08341100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172618",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Dimarcangelo, D.O.
• Jack P Dimarco, M.D.
• Glenn G Dimatteo, CRNA
• Tuan A Dinh, MD
• Vincent Dinh, CRNA
• Gregory Joseph Diorio, DO
• Michelle Dipaolo, PT
• Gayle M Dipretoro, RN,APN
• Direct Meds Camden Inc
• Daniel G Disandro, MD

• Family Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.