SHINE MEDICAL OF NEW JERSEY PC
NPI 1215662747
Psychiatry & Neurology - Psychiatry in Matawan, NJ

Q: What is Shine Medical Of New Jersey PC's NPI number?

The NPI number for Shine Medical Of New Jersey PC is 1215662747. It was assigned to this organization in the NPPES registry on July 19, 2022.

Q: What is Shine Medical Of New Jersey PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 19, 2022

100 MATAWAN RD STE 325, MATAWAN, NJ 07747(888) 380-2028 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 4, 2024, Jan 18, 2023, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

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About Shine Medical Of New Jersey Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE MEDICAL OF NEW JERSEY PC (NPI 1215662747) is a healthcare organization registered as a psychiatry in Matawan, New Jersey and active in the NPI registry since July 2022. The organization lists Clare Frances Boals Frye, Svp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1215662747

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSHINE MEDICAL OF NEW JERSEY PC

Location Address100 MATAWAN RD STE 325Matawan, NJ 07747-3590

Mailing AddressPo Box 52476Phoenix, AZ 85072-2476

Phone(888) 380-2028

Organization SubpartNo

Authorized OfficialClare Frances Boals FryeSvp Of Operations · (616) 648-1196

Enumeration DateJuly 19, 2022

Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1215662747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

100 MATAWAN RD STE 325, Matawan, NJ 07747

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARIS CARE LLC

Nurse Practitioner (Psychiatric/Mental Health)