Shaw, Suzett Simone

Shaw, Suzett Simone is an individual health care provider with primary practice located at 2 University Plz Ste 204 , Hackensack NJ 07601-6211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Shaw, Suzett Simone can be contacted via phone (551) 295-8223.

Contact Information

Primary practice address
2 University Plz Ste 204 Hackensack NJ 07601-6211
Phone: (551) 295-8223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00645900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00645900 New Jersey

Profile Details

NPI number 1184171639
LBN Legal business name Shaw, Suzett Simone
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 14th, 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 1184171639 NPPES
New Jersey MEDICAID 0760081

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