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SHORE NURSE PRACTITIONER GROUP LLC
NPI 1922335371
Nurse Practitioner in Tinton Falls, NJ

Active since November 05, 2009
71 ANNAPOLIS ST, TINTON FALLS, NJ 07712(848) 466-6011(732) 493-8475 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shore Nurse Practitioner Group Llc NPPES

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

SHORE NURSE PRACTITIONER GROUP LLC (NPI 1922335371) is a healthcare organization registered as a nurse practitioner in Tinton Falls, New Jersey and active in the NPI registry since November 2009. The organization lists Mustak Rahman, Manager, as its authorized official.

NPPES Registry Identity

NPI1922335371
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSHORE NURSE PRACTITIONER GROUP LLC
Location Address71 ANNAPOLIS STTinton Falls, NJ 07712-3175
Mailing Address71 Annapolis StTinton Falls, NJ 07712-3175 · (848) 466-6011 · Fax (732) 493-8475
Phone(848) 466-6011
Fax(732) 493-8475
Organization SubpartNo
Authorized OfficialMustak RahmanManager · (848) 466-6011
Enumeration DateNovember 5, 2009
✔ NPI 1922335371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00037000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
71 ANNAPOLIS ST, Tinton Falls, NJ 07712
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Nurse Practitioner Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shore Nurse Practitioner Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Rosario Conde, ANP
Nurse Practitioner
NPI 1730263427
71 ANNAPOLIS ST
Tinton Falls, NJ 07712
(732) 663-0099
✔ PECOS✔ Accepts MedicareSame address
Renee Nadal, APN
Nurse Practitioner
NPI 1063775047
300 2ND AVE
Long Branch, NJ 07740
(732) 923-5000
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shore Nurse Practitioner Group LLC's NPI number?

The NPI number for Shore Nurse Practitioner Group LLC is 1922335371. It was assigned to this organization in the NPPES registry on November 5, 2009.

Where is Shore Nurse Practitioner Group LLC located?

Shore Nurse Practitioner Group LLC is located at 71 Annapolis St, Tinton Falls, NJ 07712. The listed phone number is (848) 466-6011.

What is Shore Nurse Practitioner Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shore Nurse Practitioner Group LLC enrolled in Medicare?

Yes. Shore Nurse Practitioner Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shore Nurse Practitioner Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Shore Nurse Practitioner Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shore Nurse Practitioner Group LLC was last updated on November 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.