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

Shannon Khulusi, NP

Individual provider Nurse Practitioner · NPI 1932240603

Shannon Khulusi, NP is a Nurse Practitioner in Eatontown, New Jersey. Qualified in 2003, 23 years ago. Practices with Allied Digestive Health LLC, a 278-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

142 State Route 35 S
Eatontown, NJ 07724-1876
Phone: (732) 389-5004
Fax: (732) 389-1850
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00061500 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00061500 (NJ)

Record details

NPI number1932240603
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Allied Digestive Health Llc — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Eatontown