Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shore Nurse Practitioner Group LLC

Organization Nurse Practitioner · NPI 1922335371

Shore Nurse Practitioner Group LLC is a Nurse Practitioner in Tinton Falls, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

71 Annapolis St
Tinton Falls, NJ 07712-3175
Phone: (848) 466-6011
Fax: (732) 493-8475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00037000 (NJ)

Record details

NPI number1922335371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mustak Rahman — Manager · (848) 466-6011
NPI enumeratedNovember 5, 2009
Last updated in NPPESNovember 5, 2009
Mailing address71 Annapolis St, Tinton Falls, NJ 07712-3175

Other providers in Tinton Falls