OrganizationActive
Shantise Michelle LLC
NPI 1639789340 · Prosthetic/Orthotic Supplier · Maplewood, NJ
Shantise Michelle LLC is a Prosthetic/Orthotic Supplier organization in Maplewood, NJ (NPI 1639789340).
Provider details
- NPI number
- 1639789340
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Shantise Parker, Owner(973) 901-3640
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716
Phone: (973) 901-3640
Street-level locationGet directions
Mailing address
2040 Millburn Ave Ste 305
Maplewood, NJ 07040-3716
Other names (DBA / former)
- Doing business as
- Shantise Michelle Cranial Prosthesis
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Frequently asked questions
- What is Shantise Michelle LLC's NPI number?
- Shantise Michelle LLC's National Provider Identifier (NPI) is 1639789340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shantise Michelle LLC?
- Shantise Michelle LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Shantise Michelle LLC located?
- Shantise Michelle LLC's practice location on file with NPPES is 2040 Millburn Ave Ste 305, Maplewood, NJ 07040-3716.
- What is Shantise Michelle LLC's phone number?
- The practice phone number listed in the NPPES registry for Shantise Michelle LLC is (973) 901-3640.
- Who is the authorized official for Shantise Michelle LLC?
- The authorized official listed on Shantise Michelle LLC's NPPES record is Shantise Parker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shantise Michelle LLC's NPI active?
- Yes — Shantise Michelle LLC's NPI (1639789340) is active in the NPPES registry as of the last update on 2024-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.