Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Shannon Jeanne Radkovich, PA-C
Physician Assistant in Randolph, NJ · enumerated 2012.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1215292099
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Registry record
Entity type Individual (Type 1)
Name Shannon Jeanne Radkovich
Credential PA-C
Sex Female
Practice address 714 Route 10 W, Randolph, NJ, 07869
Phone (973) 891-1213
Fax (973) 891-1216
Enumeration date Jul 9, 2012
Last updated in NPPES May 10, 2023
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 25MP00285900 (NJ) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215292099 | Other | - | NPI |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Shannon Radkovich practice?
The practice location on file with NPPES is in Randolph, NJ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shannon Radkovich?
The National Provider Identifier (NPI) for Shannon Radkovich is 1215292099, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-10.