JACOB SHANI (NPI# 1437107026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437107026 |
| Entity Type | Individual |
| Full Name | JACOB SHANI |
| Credential | MD |
| Practice Address |
4802 10th Ave Attn Cardiology Brooklyn NY 11219-2916 |
| Practice Telephone | 7182837480 |
| Practice Fax Number | 7182838253 |
| Mailing Telephone | 7182837480 |
| Mailing Fax Number | 7182838253 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
1401541 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
1401541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00782783 | 05 |
| Street Address |
4802 10TH AVE ATTN CARDIOLOGY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972866309 | Ahmad Hossen Morshed | Internal Medicine | 2775 Shore Pkwy Apt 4g, Brooklyn, NY 11223-6512 | 2012-06-20 |
| 1891806881 | Alvaro Jose Dominguez | Internal Medicine | 237 82nd St, Brooklyn, NY 11209-3810 | 2006-08-31 |
| 1003180738 | New York Heart and Vascular Specialists PC | Internal Medicine | 3309 Church Ave, Brooklyn, NY 11203-2711 | 2012-02-27 |
| 1427321413 | Brooklyn Premier Cardiology PC | Internal Medicine | 7509 13th Ave, Brooklyn, NY 11228-2409 | 2012-02-21 |
| 1114226354 | Naveed Ali Rajper | Internal Medicine | 8718 Bay Pkwy Fl 1-2, Brooklyn, NY 11214-5272 | 2011-03-25 |
| 1558559989 | Sudhanva S Hegde | Internal Medicine | 451 Clarkson Ave, Brooklyn, Brooklyn, NY 11203-2057 | 2007-10-10 |
| 1033327796 | Traube Marush & Plawes M D P C | Internal Medicine | 2270 Kimball St, Suite 210, Brooklyn, NY 11234-5139 | 2007-05-18 |
| 1346371309 | Chatla V.r Reddy | Internal Medicine | 8714 5th Ave, 2nd Floor, Brooklyn, NY 11209-5204 | 2007-03-08 |
| 1487741120 | Basel Alhaddad | Internal Medicine | 450 Clarkson Ave, Suny Downstate Medical Center Cardiology Division, Brooklyn, NY 11203-2012 | 2006-10-06 |
| 1699881383 | Peter Rouvelas, M.d., P.C. | Internal Medicine | 8115 7th Ave, Brooklyn, NY 11228-2804 | 2006-08-22 |
| Find all providers in BROOKLYN | ||||
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| 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.