SHANTISE MICHELLE CRANIAL PROSTHESIS
NPI 1639789340
Prosthetic/Orthotic Supplier in Maplewood, NJ

Q: What is Shantise Michelle LLC's NPI number?

The NPI number for Shantise Michelle LLC is 1639789340. It was assigned to this organization in the NPPES registry on August 6, 2020. The provider is doing business as Shantise Michelle Cranial Prosthesis.

Q: What is Shantise Michelle LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since August 06, 2020

2040 MILLBURN AVE STE 305, MAPLEWOOD, NJ 07040(973) 901-3640 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2024, Aug 6, 2020 (2 updates tracked since 2020).

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About Shantise Michelle Cranial Prosthesis NPPES

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

SHANTISE MICHELLE CRANIAL PROSTHESIS (NPI 1639789340) is a healthcare organization registered as a prosthetic/orthotic supplier in Maplewood, New Jersey and active in the NPI registry since August 2020. The organization lists Shantise Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1639789340

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameSHANTISE MICHELLE LLC

Location Address2040 MILLBURN AVE STE 305Maplewood, NJ 07040-3716

Mailing Address2040 Millburn Ave Ste 305Maplewood, NJ 07040-3716 · (973) 901-3640

Phone(973) 901-3640

Organization SubpartNo

Authorized OfficialShantise ParkerOwner · (973) 901-3640

Enumeration DateAugust 6, 2020

Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2024

✔ NPI 1639789340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2040 MILLBURN AVE STE 305, Maplewood, NJ 07040

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Other Names 1

Doing Business AsShantise Michelle Cranial Prosthesis

Other Providers at the Same Location NPPES 2

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

ROBINSON FAMILY CARE PROFESSIONAL

In Home Supportive Care

2040 MILLBURN AVE STE 305
MAPLEWOOD, NJ 07040

Essex County (973) 419-3942

SHANTISE PARKER

Prosthetic/Orthotic Supplier

2040 MILLBURN AVE STE 305
MAPLEWOOD, NJ 07040

Essex County (973) 901-3640

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 Shantise Michelle LLC's NPI number?

The NPI number for Shantise Michelle LLC is 1639789340. It was assigned to this organization in the NPPES registry on August 6, 2020. The provider is doing business as Shantise Michelle Cranial Prosthesis.

Where is Shantise Michelle LLC located?

Shantise Michelle LLC is located at 2040 Millburn Ave Ste 305, Maplewood, NJ 07040. The listed phone number is (973) 901-3640.

What is Shantise Michelle LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Shantise Michelle LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.