Shannon Law-Clark, PA-C
Shannon Law-Clark, PA-C is a Physician Assistant in Montclair, New Jersey. Qualified in 2023, 3 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 3
- Licensed in
- NJ
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1 Seymour StMontclair, NJ 07042-3771
Phone: (973) 302-6025
Fax: (862) 357-8424
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 25MP00788200 (NJ) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 25MP00788200 (NJ) |
Record details
| NPI number | 1861177370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 21, 2023 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 13, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Summit Medical Group Pa — 1205 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Montclair
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Ariyana Veronica Grandpierre, PA-C
70 Park St Ste 312, Montclair, NJ 07042-2960 · (201) 342-2550
-
Teresa Hartman, PA-C
37 N Fullerton Ave, Montclair, NJ 07042-3426 · (973) 233-1933
-
Alicia J Soltys, PA
37 N Fullerton Ave The Plastic Surgery Group, Montclair, NJ 07042-3426 · (973) 233-1933