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

Dr. Shannon Moffett, MD

Individual provider Emergency Medicine Physician · NPI 1306085444

Dr. Shannon Moffett, MD is an Emergency Medicine Physician in Newark, New Jersey. Licensed in California and New Jersey. Registered with an NPI since 2009.

Licensed in
CA, NJ
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 972-5128
Fax: (973) 972-6646
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA09979800 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A104212 (CA)

Record details

NPI number1306085444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2009
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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