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SHANTISE PARKER
NPI 1881458792
Prosthetic/Orthotic Supplier in Maplewood, NJ

Active since February 12, 2024
2040 MILLBURN AVE STE 305, MAPLEWOOD, NJ 07040(973) 901-3640 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shantise Parker NPPES

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

SHANTISE PARKER (NPI 1881458792) is an individual prosthetic/orthotic supplier provider in Maplewood, New Jersey and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1881458792
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameSHANTISE PARKER
Location Address2040 MILLBURN AVE STE 305Maplewood, NJ 07040-3716
Mailing Address1128 N Stiles St # ALinden, NJ 07036-6122 · (973) 901-3640
Phone(973) 901-3640
Sole ProprietorYes
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1881458792 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 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 MICHELLE LLC
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 Parker's NPI number?

The NPI number for Shantise Parker is 1881458792. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Shantise Parker located?

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

What is Shantise Parker'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 Parker was last updated on February 12, 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.