Organization Active NPI

Frank M. Shanley, P.a.

  • Cardiovascular Disease Physician
  • Denville, NJ
National Provider Identifier
1104092550
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MB035868 Issued in NJ
Legal business name
FRANK M. SHANLEY, P.A.
Practice address
124 E Main St
Suite 106
Denville, NJ 07834-2100
Phone
(973) 627-6901
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Rosemary Shanley
Title
Office Manager
Phone
(973) 627-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MB035868 NJ Primary

Addresses

Primary practice location

124 E Main St
Suite 106
Denville, NJ 07834-2100

Mailing address

124 E Main St
Suite 106
Denville, NJ 07834-2100
Phone (973) 627-6901

Other identifiers 1

IdentifierTypeStateIssuer
081850001MedicaidNJ

National Provider Directory

National Provider Directory

Locations

124 E Main St
Ste 106
Denville, NJ 07834
Phone (201) 627-6901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1104092550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "address_2": "SUITE 106",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342100",
            "telephone_number": "973-627-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "address_2": "SUITE 106",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342100",
            "telephone_number": "973-627-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK M. SHANLEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SHANLEY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-627-6901"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB035868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081850001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.