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

Individual provider Medical Physician Assistant · NPI 1528491719

Shane P Courtney, PA is a Physician Assistant in Linwood, New Jersey. Qualified in 2013, 13 years ago. Practices with Coyle S Connolly DO PA, a 32-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2106 New Rd Ste D4
Linwood, NJ 08221-1046
Phone: (609) 926-8899
Fax: (609) 926-6474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00315500 (NJ)

Record details

NPI number1528491719
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2013
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Coyle S Connolly Do Pa — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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