DR. PENN P SHELLEY MD NPI 1700044021

NPI Information

  • NPI: 1700044021
  • Provider Name: DR. PENN P SHELLEY, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4 ROLLING HILL DRIVE
    CHATHAM, NJ
    ZIP 07928
  • Phone: (973) 377-3385

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NPI Details

DR. Penn P Shelley, MD is a general practice in Chatham, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Penn P Shelley, MD NPI is 1700044021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 ROLLING HILL DRIVE
CHATHAM, NJ
ZIP 07928-642
Phone: (973) 377-3385
Fax: (973) 360-1176

The NPI 1700044021 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice25MA01847300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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