Individual Healthcare Provider
Suzett Simone Shaw, APN
Provider's NPPES record last updated: September 14, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1184171639
- Primary Specialty
- Nurse Practitioner — Primary Care
- Practice Location
- Hackensack, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:39 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP2300X Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ00645900
- Nurse Practitioner (New Jersey)
- 26NJ00645900
Practice Locations
Practice Location
2 University Plz Ste 204
Hackensack, New Jersey 07601-6211
Phone: (551) 295-8223
Additional Practice Location
137 High St Fl 2a
Mount Holly, New Jersey 08060-1476
Phone: (609) 474-0120
Additional Practice Location
1000 Haddonfield Berlin Rd Ste 205
Voorhees, New Jersey 08043-3520
Phone: (551) 295-8223
Additional Practice Location
2445 S Delsea Dr
Inspira Life Vineland
Vineland, New Jersey 08360-7000
Phone: (856) 334-1961
Record Information
- Enumeration Date
- September 1, 2016
- Provider's NPPES Record Last Updated
- September 14, 2025
- Certification Date
- September 14, 2025
- NPISignal NPPES Dataset
- August 2026
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