RADISLAV SHASTUN (NPI# 1578727251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578727251 |
| Entity Type | Individual |
| Full Name | RADISLAV SHASTUN |
| Practice Address |
355 Nottingham Way Union NJ 07083-7932 |
| Mailing Address |
355 Nottingham Way Union NJ 07083 |
| Practice Telephone | 9086863570 |
| Practice Fax Number | 9178292009 |
| Mailing Telephone | 9086863570 |
| Mailing Fax Number | 9178292009 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | O000109-1 | NY | Other Service Providers |
| Street Address |
355 NOTTINGHAM WAY |
| City | UNION |
| State | NJ |
| Zip Code | 07083-7932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1518364629 | Oasis Orthopedic Pain and Wellness of Union, LLC | Specialist | 950 West Chestnut, Suite 101, Union, NJ 07083 | 2014-12-04 |
| 1366850075 | Tsr Jamaal Martin | Specialist | 2581 Eleanor Terrace, Union, NJ 07083 | 2014-07-25 |
| 1003229451 | Carlos Gonzalez | Specialist | 323 Whitewood Rd, Union, NJ 07083-8214 | 2014-06-03 |
| 1447416169 | Elizabeth Ann Mccullough | Specialist | 430 Sardis Rd, Union, SC 29379-8715 | 2008-08-01 |
| 1780894105 | Dawn Pinney Sander | Specialist | 1236 Farmcrest Dr, Union, KY 41091-7500 | 2007-05-23 |
| 1972623619 | Edward Samuel Laduca | Specialist | 2008 Morris Ave, Union, NJ 07083-6014 | 2007-03-29 |
| 1649309089 | Robert Lee Kincheloe | Specialist | 100 Beverly Dr, Union, SC 29379-9667 | 2007-03-03 |
| 1184710824 | Xrt Iv, Inc. | Specialist | 2 Williams Dr, Union, MO 63084-2919 | 2006-10-04 |
| 1164521175 | Richard W Tai | Specialist | 1945 Morris Ave Ste 1, Union, NJ 07083-3518 | 2006-09-22 |
| Find all providers in UNION | ||||
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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.