IndividualActive
Shaun Dougherty, RN
NPI 1023851581 · Critical Care Medicine Registered Nurse · Hackensack, NJ
Provider details
- NPI number
- 1023851581
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 26NR20882400 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2000
Approximate (ZIP-level) locationGet directions
Mailing address
78 Hampshire Hill Rd
Upper Saddle River, NJ 07458-1106
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.