Shirley Rachel Mamiye

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ01147000 Issued in NJ

Practice address

608 Laurel Ave
Allenhurst, NJ 07711-1420

Phone

(718) 208-6747

NPI assigned

May 5, 2021

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medinmotion LLCGroup PAC ID 4082088828, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Medinmotion LLC

  • Nurse Practitioner
  • Oakhurst, NJ
  • NPI 1477250553
  Medicare reassignment Care Compare group NPD
• Ammedicine

  • Internal Medicine Physician
  • West Long Branch, NJ
  • NPI 1396324406
  Medicare reassignment NPD
• Personal NP Services, LLC

  dba Vitality NP Services

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1649658105
  Medicare reassignment NPD
• Premier Shore Medical LLC

  • Internal Medicine Physician
  • Wall Township, NJ
  • NPI 1497229520
  Medicare reassignment NPD
• Med at Home LLC

  • Gerontology Nurse Practitioner
  • Allenhurst, NJ
  • NPI 1023946019
  NPD Authorized official
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1740863893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 LAUREL AVE",
            "city": "ALLENHURST",
            "state": "NJ",
            "postal_code": "077111420",
            "telephone_number": "718-208-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LAUREL AVE",
            "city": "ALLENHURST",
            "state": "NJ",
            "postal_code": "077111420",
            "telephone_number": "718-208-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIYE",
        "first_name": "SHIRLEY",
        "middle_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01147000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilline Adler, PSY.D.
• American Family Tinnitus Center LLC
• Elaine Cannizzaro
• Robert Steven Dengrove, M.D.
• Shelley Secoolish Hamilton, AU.D.
• Med at Home LLC
• David Moss, D.D.S
• Vanessa Moss, MA, MSW, LCSW
• Nancie Vaccaro Senet, PH.D.
• Gary Eugene Siciliano, DMD

• Primary Care Nurse Practitioner in Allenhurst, NJ
• Providers in Allenhurst, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.