Provider Demographics
NPI:1205177789
Name:DENNING, SHAWN ALAN JR (APRN)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ALAN
Last Name:DENNING
Suffix:JR
Gender:M
Credentials:APRN
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Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:780 RTE 37 W STE 330
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5064
Practice Address - Country:US
Practice Address - Phone:732-691-4898
Practice Address - Fax:732-608-8950
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2025-06-20
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Provider Licenses
StateLicense IDTaxonomies
NJ26NR14810600163W00000X
NJ26NJ00445500163WR0006X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0375896Medicaid