Joy Shannon, - Medicare Nurse Practitioner in Fair Lawn, NJ

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Joy Shannon, is a medicare enrolled "Nurse Practitioner - Family" in Fair Lawn, New Jersey. Her current practice location is 22-02 Broadway, Fair Lawn, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 299-2900.

Joy Shannon is licensed to practice in New Jersey (license number 26NJ01407600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245927052.

Contact Information

Joy Shannon,
22-02 Broadway,
Fair Lawn, NJ 07410-3016
(551) 299-2900
Not Available

Map and Direction




Provider's Profile

Full NameJoy Shannon
GenderFemale
SpecialityNurse Practitioner - Family
Location22-02 Broadway, Fair Lawn, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245927052
  • Provider Enumeration Date: 04/20/2023
  • Last Update Date: 04/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163864034
  • Enrollment ID: I20240523002206

Medical Identifiers

Medical identifiers for Joy Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245927052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01407600 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joy Shannon allows following entities to bill medicare on her behalf.
Entity NameHydrate Your Way
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669225314
PECOS PAC ID: 7113369083
Enrollment ID: O20240523000681

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joy Shannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joy Shannon,
10-12 Scott St,
Newark, NJ 07102-3492

Ph: (862) 902-3094		Joy Shannon,
22-02 Broadway,
Fair Lawn, NJ 07410-3016

Ph: (551) 299-2900

Reviews and Comments


Nurse Practitioner Nurses in Fair Lawn, NJ

Mrs. Nancy P Gallagher, ANP
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Practice Location: 22-18 Broadway, Suite 102, Fair Lawn, NJ 07410
Phone: 973-256-5557    Fax: 973-256-5036
Mallory Anne Smallze,
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Medicare: Medicare Enrolled
Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410
Phone: 201-414-9840    
Nichole Larysz,
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Practice Location: 5-15 Hartley Pl, Fair Lawn, NJ 07410
Phone: 551-795-6223    
Meredith Claire Lubas, NP
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Medicare: Medicare Enrolled
Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410
Phone: 201-475-5050    
Maria Jidriska Myers,
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Medicare: Accepting Medicare Assignments
Practice Location: 23-00 Nj-208, Fair Lawn, NJ 07410
Phone: 973-200-7380    
Ms. Catherine Carlton, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410
Phone: 201-475-2050    Fax: 201-475-5522
Mrs. Nicole Hernandez, MSN, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410
Phone: 201-797-1900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.