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

Shane Raymond Wittkop, BA

Individual provider Case Manager/Care Coordinator · NPI 1215782693

Shane Raymond Wittkop, BA is a Case Manager/Care Coordinator in Trenton, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

3535 Quakerbridge Rd Ste 300
Trenton, NJ 08619-1200
Phone: (609) 249-4645
Fax: (609) 337-2706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1215782693
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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