SHINE PHILIP (NPI# 1538519954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538519954 |
| Entity Type | Individual |
| Full Name | SHINE PHILIP |
| Credential | NP |
| Practice Address |
845 Palmer Ave Mamaroneck NY 10543-2406 |
| Practice Telephone | 9146986005 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
666197 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F341575 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1468 Madison Ave, New York, NY 100296508 | 2122416639 |
| Street Address |
845 PALMER AVE |
| City | MAMARONECK |
| State | NY |
| Zip Code | 10543-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740393511 | Ye Wang | Internal Medicine | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2006-08-16 |
| 1861967036 | Lisa Infante | Speech-Language Pathologist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2018-10-03 |
| 1548748205 | Nicole Megahey | Speech-Language Pathologist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2018-08-03 |
| 1700378346 | Cindy Chen | Occupational Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2018-05-30 |
| 1730699372 | Helen A. Yee | Physical Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2017-10-10 |
| 1801335781 | Brian James Mcintyre | Occupational Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2017-02-13 |
| 1790228120 | Mary Catherine Liwag | Physical Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2016-12-03 |
| 1881061653 | Marine Pamela Prudent | Occupational Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2015-08-28 |
| 1538562855 | Happy Thampikutty | Occupational Therapist | 845 Palmer Ave, Mamaroneck, NY 10543-2406 | 2014-10-01 |
| 1831527688 | Edward F Carpenter | Pharmacist | 845 Palmer Ave, Jewish Home Lifecare, Mamaroneck, NY 10543 | 2013-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1093324402 | Yaritza Ayala | Speech-Language Pathologist | 100 W Boston Post Rd, Student Support Office, Mamaroneck, NY 10543 | 2020-07-31 |
| 1659913705 | Dolores Ramos | Technician | 328 Richbell Rd, Mamaroneck, NY 10543 | 2019-10-10 |
| 1689230369 | Gina Antiaris | Internal Medicine | Miller Clark Animal Hospital, 1621 Harrison Ave, Mamaroneck, NY 10543 | 2019-05-17 |
| 1982111688 | Farrah Renate Hatem | Specialist | Mamaroneck Community Nursery School, 500 Tomkins Ave, Mamaroneck, NY 10543 | 2018-01-03 |
| 1518496132 | Danielle Marie Lombardozzi | Registered Nurse | 336 Florence Street, Mamaroneck, NY 10543 | 2017-06-07 |
| 1710430962 | Melanie Mccarthy | Occupational Therapist | 604 Tompkins Ave Apt E12, Mamaroneck, NY 10543 | 2016-07-24 |
| 1669838447 | New York Sports & Spine Chiropractic, LLC | Chiropractor | 875 Mamaroneck Avenue, Ste 102, Mamaroneck, NY 10543 | 2016-01-08 |
| 1568847655 | Lisa Wauchope-greenland | Registered Nurse | 275 Fifth Street, Mamaroneck, NY 10543 | 2015-07-30 |
| 1699013854 | Marshall Donald Coleman | Psychiatry & Neurology | 1030 Greacen Pt Rd, Mamaroneck, NY 10543 | 2013-01-23 |
| Find all providers in zip 10543 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801376777 | Jennifer Lanausse | Nurse Practitioner | 712 Hall St, Mamaroneck, NY 10543-3912 | 2018-08-20 |
| 1912450719 | Julia Paige Deloach | Nurse Practitioner | 689 Mamaroneck Ave, Mamaroneck, NY 10543-5910 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | MAMARONECK |
| Zip Code | 10543 |
Please comment or provide details below to improve the information on SHINE PHILIP.
| 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.