Individual provider Active NPI

Anne Marie Shaftic, APN

  • Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1346348109
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00081800 Issued in NJ
Practice address
718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666
Phone
(201) 227-6008
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00081800 NJ Primary

Addresses

Primary practice location

718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666

Mailing address

718 Teaneck Road
Regional Cancer Center
Teaneck, NJ 07666
Phone (201) 227-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000234 NJ Practitioner - Nurse Practitioner 1355508698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00081800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Mar 2, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

J2 Brier Hill Ct
East Brunswick, NJ 08816
Phone 73239077500219

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

7650 River Rd
Ste 20
North Bergen, NJ 07047

7650 River Rd
Ste 200
North Bergen, NJ 07047
Phone (201) 464-0008

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1346348109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "address_2": "REGIONAL CANCER CENTER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-227-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "address_2": "REGIONAL CANCER CENTER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-227-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFTIC",
        "first_name": "ANNE MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00081800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.