Individual provider Active NPI

Shanaya Recalde, CNM

  • Midwife
  • Elizabeth, NJ
National Provider Identifier
1467966960
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00062901 Issued in NJ
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

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108003630 NJ Practitioner - Certified Nurse Midwife (CNM) 8325495575 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince Sep 25, 2023 Accepting new patients
Saint Peter'S University Hospital CurrentSince Sep 25, 2023 Accepting new patients
Saint Peter'S Specialty Physicians, P.C. CurrentSince Jun 10, 2024 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

  • Direct secure messaging: shanaya.recalde.1@3830.direct.athenahealth.com
  • Direct secure messaging: shanaya.recalde.1@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.