Douglas, Shandel

Douglas, Shandel is an individual health care provider with primary practice located at 887 Kinderkamack Rd , River Edge NJ 07661-2307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Douglas, Shandel can be contacted via phone (201) 464-0860.

Contact Information

Primary practice address
887 Kinderkamack Rd River Edge NJ 07661-2307
Phone: (201) 464-0860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00747600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00747600 New Jersey

Profile Details

NPI number 1649798455
LBN Legal business name Douglas, Shandel
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2017
Last updated Dec 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649798455 NPPES
New Jersey MEDICAID 0587613

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