Individual provider Active NPI

Shonta Denise Collins, CRNP, FNP-C

  • Family Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1689005589
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00487900 Issued in NJ
Practice address
28 Throckmorton LN Ste 204
Old Bridge, NJ 08857-2558
Phone
(732) 952-3999
Fax
(732) 952-8989
NPI assigned
Dec 3, 2013
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013482 PA
Family Nurse Practitioner 363LF0000X 26NJ00487900 NJ Primary

Addresses

Primary practice location

28 Throckmorton LN Ste 204
Old Bridge, NJ 08857-2558

Mailing address

28 Throckmorton LN Ste 204
Old Bridge, NJ 08857-2558
Phone (732) 952-3999

Other practice location 1

455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328
Phone (856) 512-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140328000326 PA Practitioner - Nurse Practitioner 3870724263 Reassigns benefits to 1 organization
I20150115000699 NJ Practitioner - Nurse Practitioner 3870724263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

260 Terrace Dr
Blakely, PA 18447-2500
Phone (844) 964-2583

455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328
Phone (856) 512-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seto Medical Providers,LLC CurrentSince Oct 23, 2017 Accepting new patients
Dermatology Associates of Central New Jersey, PA PastSince Feb 23, 2020 Accepting new patients
Nazareth Physician Services, Inc Past Accepting new patients
Dr S Alan Weinstein PC PastSince Sep 1, 2019 Accepting new patients

Locations

100 Red Bank Ave
West Deptford, NJ 08096
Phone (856) 241-3311

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1689005589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 204",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-952-3999",
            "fax_number": "732-952-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 204",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-952-3999",
            "fax_number": "732-952-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Hurffville Crosskeys Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802328",
            "country_code": "US",
            "telephone_number": "856-512-0800",
            "fax_number": "856-423-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHONTA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00487900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.