Active NPI
Shannon Connor Junior, CRNA, APN
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ01217800
- Practice address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - Phone
- (856) 755-1616
- Fax
- (856) 755-0098
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ01217800 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave
Camden, NJ 08103-3101
Mailing address
658 N Saratoga Dr
Moorestown, NJ 08057-3834
Phone (856) 313-3798
Other names 1
- Miss Shannon Connor Junior
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01217800 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Mid-Atlantic Anesthesia Associates PA | Current | Accepting new patients | |
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Current | Accepting new patients |
Locations
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1366486508
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1114680709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 N SARATOGA DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573834",
"telephone_number": "856-313-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-755-1616",
"fax_number": "856-755-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNIOR",
"first_name": "SHANNON",
"middle_name": "CONNOR",
"name_prefix": "Miss",
"credential": "CRNA, APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ01217800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "JUNIOR",
"middle_name": "CONNOR",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.