Individual provider · Type 1 NPI

Shannon Decosta

Medical Physician Assistant · Cape May Court House, NJ

NPI number 1639004492 Active

Practice location

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138

Call (609) 463-2273 Map

Mailing address

2003 Rosemar Ln
Ocean City, NJ 08226-2626

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1639004492

Shannon Decosta's National Provider Identifier is 1639004492, issued on Jun 15, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cape May Court House, NJ. The record was last updated on Jun 15, 2026.