Shannon Malloy-Craig

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NR14819100 Issued in NJ

Practice address

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124

Phone

(856) 235-6565

Fax

(856) 235-6566

NPI assigned

Dec 9, 2016

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moorestown Dermatology Associates PAGroup PAC ID 9537349550, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smc@moorestown.emadirect.md

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.

• Moorestown Dermatology Associates PA

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1730104381
  Medicare reassignment Care Compare group NPD
• Affiliated Primary Care Associates II

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1992663090
  Medicare reassignment NPD
• Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
  • NPI 1891362364
  Medicare reassignment NPD
• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392
  Medicare reassignment NPD
• Dermone Dermatology Associates of the Garden State, PC

  • MOHS-Micrographic Surgery Physician
  • Freehold, NJ
  • NPI 1053771048
  NPD (past)
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1487169702
  NPD (past)

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1932643947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CEDAR AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711917",
            "telephone_number": "856-498-5433",
            "fax_number": "856-582-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Pitman",
            "state": "NJ",
            "postal_code": "080711917",
            "country_code": "US",
            "telephone_number": "856-498-5433",
            "fax_number": "856-582-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLOY-CRAIG",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR14819100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Michele Maccariella, PT, DPT
• Desiree Magistrado
• Pauline Magoulas
• Marykay Maley, R.N., A.P.N. C.
• Ghina C Maliha, D.M.D.
• Sharad Sunder Mansukani, MD
• Andrew Mantone, PA-C
• Jill Marghella, OT
• Rachel Brand Margolin, LCSW
• June Margolis, MD

• Family Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.