Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie McDermott, PA

Individual provider Physician Assistant · NPI 1417767476

Shannon Marie McDermott, PA is a Physician Assistant in Spring Lake, New Jersey. Qualified in 2025, 1 year ago. Practices with Cardiovascular Center at Tufts Medical Center Inc, a 98-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

211 Lorraine Ave
Spring Lake, NJ 07762-1714
Phone: (908) 821-5140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417767476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2025
Last updated in NPPESJanuary 11, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cardiovascular Center At Tufts Medical Center Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Cardiovascular Center at Tufts Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 98 clinicians in the practice; 12 are shown here.