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DR. SHANNON MOFFETT MD
NPI 1306085444
Emergency Medicine in Newark, NJ

Active since February 12, 2009
150 BERGEN ST, NEWARK, NJ 07103(973) 972-5128(973) 972-6646 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2022, Apr 15, 2022, Mar 23, 2017 (3 updates tracked since 2017).

About Dr. Shannon Moffett Md NPPES

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

DR. SHANNON MOFFETT MD (NPI 1306085444) is an individual emergency medicine provider in Newark, New Jersey, licensed in New Jersey (25MA09979800) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1306085444
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANNON MOFFETTCredential: MD
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address150 Bergen StNewark, NJ 07103-2496 · (973) 972-5128 · Fax (973) 972-6646
Phone(973) 972-5128
Fax(973) 972-6646
Sole ProprietorNo
Enumeration DateFebruary 12, 2009
Last NPPES UpdateApril 19, 20223 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1306085444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA09979800✔ Licensed in CA · A104212
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
150 BERGEN ST, Newark, NJ 07103
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Other Providers at the Same Location NPPES 20

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

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Moffett's NPI number?

The NPI number for Shannon Moffett is 1306085444. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Where is Shannon Moffett located?

Shannon Moffett practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-5128.

What is Shannon Moffett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Shannon Moffett was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.