Individual provider Active NPI

Shannon E Brophy, NP

  • Adult Health Nurse Practitioner
  • Summit, NJ
National Provider Identifier
1891731642
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00105000 Issued in NJ
Practice address
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone
(973) 971-5595
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00105000 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Mailing address

PO Box 23831
Newark, NJ 07189-0001
Phone (973) 971-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20060829000420 NJ Practitioner - Nurse Practitioner 0244213239 Reassigns benefits to 1 organization
I20101221000024 NY Practitioner - Nurse Practitioner 0244213239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epilepsy and Neurophysiology Medical Consulting PCGroup PAC ID 4082500624, 6 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 800
Hackensack, NJ 07601-1974
Phone (201) 343-6676

333 Westchester Ave
Suite E104
White Plains, NY 10604-2930
Phone (914) 428-3651

390 Crystal Run Rd
Suite 102
Middletown, NY 10941-4051
Phone (914) 428-3651

737 Castleton Ave
Staten Island, NY 10310-1801
Phone (914) 428-3651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304341NYMDLicensed Practical Nurse
235348MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants PA Current Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC CurrentSince Oct 3, 2010 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants, PA CurrentSince Feb 17, 2010 Accepting new patients
Practice Associates,Inc Nurse Practitioner Past Accepting new patients
Regional Neurological Associates, PC Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

377 Jersey Ave
Ste 440
Jersey City, NJ 07302
Phone (201) 289-5551

200 S Orange Ave
Ste 275
Livingston, NJ 07039
Phone (732) 235-6333

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

303 George St
Ste 420
New Brunswick, NJ 08901
Phone (732) 828-1373

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

390 Crystal Run Rd
Ste 102
Middletown, NY 10941
Phone (845) 692-8780

820 2nd Ave
Rm 6C
New York, NY 10017
Phone (212) 537-9272

737 Castleton Ave
Staten Island, NY 10310
Phone (718) 655-6595

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

6907 43rd Ave
Ste C2
Woodside, NY 11377
Phone (718) 830-3772

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1891731642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23831",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071890001",
            "telephone_number": "973-971-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "973-971-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "SHANNON",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00105000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.