Provider Demographics
NPI:1497418644
Name:PLATT, SHAHAR (RN, BSN)
Entity Type:Individual
Prefix:MISS
First Name:SHAHAR
Middle Name:
Last Name:PLATT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SPRINGBROOK RD E
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9196
Mailing Address - Country:US
Mailing Address - Phone:201-693-6001
Mailing Address - Fax:
Practice Address - Street 1:53 SPRINGBROOK RD E
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9196
Practice Address - Country:US
Practice Address - Phone:201-693-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR23141500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse