Individual provider Active NPI

Shirley Theresa Atteyeh, MSN RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cedar Grove, NJ
National Provider Identifier
1548050370
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
26NR11377400 Issued in NJ
Practice address
20 Center Ave
Cedar Grove, NJ 07009-1016
Phone
(973) 703-3238
Fax
(973) 703-3238
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR11377400 NJ
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 26NR11377400 NJ Primary

Addresses

Primary practice location

20 Center Ave
Cedar Grove, NJ 07009-1016

Mailing address

20 Center Ave
Cedar Grove, NJ 07009-1016
Phone (973) 703-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR11377400NJMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1548050370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTER AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091016",
            "telephone_number": "973-703-3238",
            "fax_number": "973-703-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTER AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091016",
            "telephone_number": "973-703-3238",
            "fax_number": "973-703-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEYEH",
        "first_name": "SHIRLEY",
        "middle_name": "THERESA",
        "credential": "MSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR11377400",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NR11377400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.