Individual provider Active NPI

Shannon Campbell

  • Physician Assistant
  • Neptune, NJ
National Provider Identifier
1568081248
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00841700 Issued in NJ
Practice address
19 Davis Ave FL 4
Neptune, NJ 07753-4488
Phone
(732) 776-4770
Fax
(732) 776-3763
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY
Physician Assistant 363A00000X 25MP00841700 NJ Primary

Addresses

Primary practice location

19 Davis Ave FL 4
Neptune, NJ 07753-4488

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

1 Riverview Plz
2 East
Red Bank, NJ 07701-1864
Phone (732) 776-4770

Other practice location 2

570 Lexington Ave Fl 9
New York, NY 10022-6710
Phone (646) 962-7277

Other practice location 3

1301 Route 72 W Ste 260
Manahawkin, NJ 08050-2483
Phone (732) 776-4770

Other practice location 4

1610 Route 88 Ste 203
Brick, NJ 08724-3018
Phone (732) 776-4770

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
I20260109001646 NJ Practitioner - Physician Assistant 0547746588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1610 Route 88
Suite 203
Brick, NJ 08724-3018
Phone (732) 212-6212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00841700NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 31, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 31, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

1610 Route 88
Ste 203
Brick, NJ 08724
Phone (732) 268-8470

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

1301 Route 72 W
Ste 260
Manahawkin, NJ 08050
Phone (609) 597-0547

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1 Riverview Plz
#2
Red Bank, NJ 07701

1 Riverview Plz
#2E
Red Bank, NJ 07701

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

19 Davis Ave
Wall Township, NJ 07753
Phone (732) 776-4551

Interoperability endpoints

  • Direct secure messaging: shc9215@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1568081248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 4",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-776-4770",
            "fax_number": "732-776-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverview Plz",
            "address_2": "2 East",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011864",
            "country_code": "US",
            "telephone_number": "732-776-4770",
            "fax_number": "732-776-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Lexington Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100226710",
            "country_code": "US",
            "telephone_number": "646-962-7277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Route 72 W Ste 260",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502483",
            "country_code": "US",
            "telephone_number": "732-776-4770",
            "fax_number": "732-776-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Route 88 Ste 203",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087243018",
            "country_code": "US",
            "telephone_number": "732-776-4770",
            "fax_number": "732-776-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00841700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.