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Search › New Jersey › 208100000X

Shannon O'Leary

NPI 1336027994 · on the registry since 2025 · sole proprietor

Practice

Address
8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone
(908) 580-3800
Organisation at this address
Fellowship Village Inc.
Fellowship Village Inc.
Fellowship Medical Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
225XP0019X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey