Shayna Grandon Grandon, RN
Individual provider Active NPI Registered Nurse · South Amboy, NJ
NPI 1710873161 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1710873161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 26NR25976500 (NJ)
- Practice address
- 901 Ernston Rd
South Amboy, NJ 08879-2000 - Phone
- (732) 585-1815
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR25976500 | NJ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR25976500 | NJ | Yes |
Addresses
Primary practice location
901 Ernston Rd
South Amboy, NJ 08879-2000
Mailing address
901 Ernston Rd
South Amboy, NJ 08879-2000
Other providers in South Amboy, NJ
- Walter A Geary
- Lisa Cecelia Giacomiazzio
- Maria T Giera
- Michelle Golba-Norek
- Ariana Gordon
- Tomasz K Grochowalski
- Surender M Grover
- Habit Opco, LLC
- Erin Hansen Meehan
- Harold V McKenna, M.D., P.a.
All providers in South Amboy, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.