IndividualActive
Shane Connolly, RN
NPI 1396410064 · Registered Nurse · Staten Island, NY
Shane Connolly, RN is a Registered Nurse provider in Staten Island, NY (NPI 1396410064).
Provider details
- NPI number
- 1396410064
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 821841 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Moore St
Staten Island, NY 10306-1641
Phone: (347) 552-0819
Fax: (718) 979-6940
Street-level locationGet directions
Mailing address
1477 Hylan Blvd
Staten Island, NY 10305-1906
Registry dates
- Enumerated
- 2021-08-13
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Frequently asked questions
- What is Shane Connolly's NPI number?
- Shane Connolly's National Provider Identifier (NPI) is 1396410064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Connolly's specialty?
- Shane Connolly is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Shane Connolly located?
- Shane Connolly's practice location on file with NPPES is 33 Moore St, Staten Island, NY 10306-1641.
- What is Shane Connolly's phone number?
- The practice phone number listed in the NPPES registry for Shane Connolly is (347) 552-0819.
- Is Shane Connolly's NPI active?
- Yes — Shane Connolly's NPI (1396410064) is active in the NPPES registry as of the last update on 2021-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.