Dixon, Shu-Shanna Peta-Gaye

Dixon, Shu-Shanna Peta-Gaye is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dixon, Shu-Shanna Peta-Gaye can be contacted via phone (201) 833-3000.

Contact Information

Primary practice address
718 Teaneck Rd Teaneck NJ 07666-4245
Phone: (201) 833-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ01117100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 26NJ01117100 New Jersey

Profile Details

NPI number 1265055230
LBN Legal business name Dixon, Shu-Shanna Peta-Gaye
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2020
Last updated Apr 11th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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