MS. SHYAN INDERA JAGDEO (NPI# 1205459534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205459534 |
| Entity Type | Individual |
| Full Name | MS. SHYAN INDERA JAGDEO |
| Credential | NP |
| Practice Address |
645 W Broadway Long Beach NY 11561-2956 |
| Mailing Address |
3224 Anchor Dr Far Rockaway NY 11691-1602 |
| Practice Telephone | 5168891100 |
| Practice Fax Number | 5168891531 |
| Mailing Telephone | 7184735660 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
712437 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
645 W BROADWAY |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660657 | Andrea Linda Dorsett | Nurse Practitioner | 1340 E South St Apt 101, Long Beach, CA 90805-4367 | 2020-02-04 |
| 1366982191 | Emilyn Basubas Lao | Nurse Practitioner | 1100 Elm Ave Apt 115, Long Beach, CA 90813-3275 | 2017-02-27 |
| 1427591247 | Betty Butler | Nurse Practitioner | 3546 Linden Ave Unit 1, Long Beach, CA 90807-5603 | 2016-11-28 |
| 1205495033 | Maryann Siu | Nurse Practitioner | 5901 E 7th St, Long Beach, CA 90822-5201 | 2019-06-05 |
| 1568732295 | Kathleen Joyce Griffin | Nurse Practitioner | 5901 E 7th St, Long Beach, CA 90822 | 2012-01-11 |
| 1730277211 | Vanessa Ann Lee | Nurse Practitioner | 5901 E. 7th St., Va Long Beach Hcs, Long Beach, CA 90822 | 2006-10-10 |
| 1902856156 | Anita Loos-hannifan | Nurse Practitioner | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
| 1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
| 1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
| 1043831530 | Rigina Matatova | Nurse Practitioner | 9941 64th Ave Apt A3, Rego Park, NY 11374-2667 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on MS. SHYAN INDERA JAGDEO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.