Shan Ma, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR21679700 Issued in NJ

Practice address

54 Plainfield Ave
Edison, NJ 08817-4585

Phone

(917) 907-0087

NPI assigned

Nov 5, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1871463802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174585",
            "telephone_number": "732-967-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174585",
            "telephone_number": "917-907-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "SHAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR21679700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Luxottica of America Inc.
• Devon M. Lynch, LCSW
• M. Farrukh Nizam, MD, LLC
• M. Mohammed Nisar MD PA
• Wei Wei Ma, MD
• Yan Ma, DDS
• Mark Macher, M.D.
• Praneeth Madabhushi, M.D.
• Srinivasu Maddula, PHARM D.

• Registered Nurse in Edison, NJ
• Providers in Edison, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.