Shannon Michelle Snook, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01070600 Issued in NJ

Practice address

815 Baltimore Ave
Roselle, NJ 07203-2309

Phone

(908) 245-3446

Fax

(908) 245-9265

NPI assigned

Oct 6, 2020

Last updated

Mar 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Uma Viswanathan, MD PA

  • Internal Medicine Physician
  • Roselle, NJ
  • NPI 1962643874
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1134726722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BALTIMORE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032309",
            "telephone_number": "908-245-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BALTIMORE AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032309",
            "telephone_number": "908-245-3446",
            "fax_number": "908-245-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOOK",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01070600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Shmulevich, M.D.
• Nicole Siha, LPC, NCC
• Gerard Silaire, LPN
• Roseann Marcella Singh-Hazell, LPN
• Karen Singh
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• Stuart M Lonsk OD PA

• Family Nurse Practitioner in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.