Active NPI
Shannon Guy
- Certified Registered Nurse Anesthetist
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ01041200
- Practice address
- 350 Engle St
Englewood, NJ 07631-1808 - Phone
- (201) 894-3000
- NPI assigned
- Apr 22, 2020
- Last updated
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ01041200 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR14985700 | NJ |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1808
Mailing address
45 Bogert PL
Westwood, NJ 07675-1808
Phone (973) 769-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000
350 Engle St
Englewood, NJ 07631-1808
Phone (201) 871-6073
974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 357-5775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14985700 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Ramapo Anesthesiologists, PC | Current | Accepting new patients | |
| Northern Valley Anesthesiology, P.a. | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000
974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700
233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741
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.
-
- Anesthesiology Physician
- Englewood, NJ
- NPI 1245289487
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1912527763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 BOGERT PL",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076751808",
"telephone_number": "973-769-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "201-894-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUY",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ01041200",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR14985700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.