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: July 19, 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.Information from the official NPPES registry record, last updated February 12, 2024.

NPPES Registry Identity

NPI1881458792
Entity TypeIndividualFemale
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
Sole ProprietorYes
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
NPI 1881458792 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Prosthetic/Orthotic Supplier

Taxonomy 335E00000X · Suppliers

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… Show more

2040 MILLBURN AVE STE 305, Maplewood, NJ 07040

Reviews for SHANTISE PARKER

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

In Home Supportive Care
2040 MILLBURN AVE STE 305
MAPLEWOOD, NJ 07040
Prosthetic/Orthotic Supplier
2040 MILLBURN AVE STE 305
MAPLEWOOD, NJ 07040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881458792, enumerated as an "individual" on February 12, 2024.

The provider is located at 2040 MILLBURN AVE STE 305 MAPLEWOOD, NJ 07040 and the phone number is (973) 901-3640.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.