Richard William Shaw, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NO11902800 Issued in NJ

Practice address

3 Aster St
Glenwood, NJ 07418-1908

Phone

(973) 764-7881

Fax

(973) 764-7881

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023107448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ASTER ST",
            "city": "GLENWOOD",
            "state": "NJ",
            "postal_code": "074181908",
            "telephone_number": "973-764-7881",
            "fax_number": "973-764-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ASTER ST",
            "city": "GLENWOOD",
            "state": "NJ",
            "postal_code": "074181908",
            "telephone_number": "973-764-7881",
            "fax_number": "973-764-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO11902800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Jean Evans, LMT
• William J Galese, LIFEGUARD-E.M.T.
• Jerri Shankler MSW LCSW Lcadc
• Deborah Kopko Vitale, LPC, MS, PHD
• North Jersey Counseling Associates LLC
• Scott G Soltis
• Kayla Thiessen, LAC

• Registered Nurse First Assistant in Glenwood, NJ
• Providers in Glenwood, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.