Active NPI
Shanaya Recalde, CNM
- Midwife
- Elizabeth, NJ
National Provider Identifier
1467966960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 25ME00062901
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202-3625 - Phone
- (908) 994-5000
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 25ME00062901 | NJ | Primary |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202-3625
Mailing address
80 Midland PL
Newark, NJ 07106-2806
Phone (973) 979-1262
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S Specialty Physicians, P.C. | Current | Accepting new patients |
Locations
500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360
254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
Interoperability endpoints
- shanaya.recalde.1@3830.direct.athenahealth.com
- shanaya.recalde.1@8568.direct.athenahealth.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
- shanaya.recalde.2@8568.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Lakewood, NJ
- NPI 1861894982
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1467966960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MIDLAND PL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071062806",
"telephone_number": "973-979-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-994-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECALDE",
"first_name": "SHANAYA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NJ",
"license": "25ME00062901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.