SHANI KORNBLUTH


Address: 22121 Jamaica Ave, Queens Village, NY 11428-2015
Phone: 7185300374

SHANI KORNBLUTH (NPI# 1700328085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700328085
Entity Type Individual
Full Name SHANI KORNBLUTH
Credential RN
Practice Address 22121 Jamaica Ave
Queens Village
NY 11428-2015
Mailing Address 1448 E 19th St
Brooklyn
NY 11230-6716
Practice Telephone 7185300374
Mailing Telephone 7186834420
Enumeration Date 2016-11-17
Last Update Date 2016-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
722397 NY Nursing Service Providers

Office Location

Street Address 22121 JAMAICA AVE
City QUEENS VILLAGE
State NY
Zip Code 11428-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871635987 Home Care At Its Best Home Health 22121 Jamaica Ave, 2nd Fl, Queens Village, NY 11428-2015 2007-02-13
1750943320 Jessica Barton Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2019-07-03
1629637855 Rhenee Angelique Mullings Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2019-06-11
1417513136 Denisse Soto-duran Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2019-05-17
1831656875 Nancy Felix Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2019-02-26
1033685649 Evelissa Emmanuelle Ducatel Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2018-10-22
1972087302 Jessyca Jean Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2018-09-21
1437636479 Noeimie Michelle Desir Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2018-07-23
1518461441 Oghenekevwe Mary Ikie Licensed Practical Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2018-03-23
1851756753 Rachel Roumain Registered Nurse 22121 Jamaica Ave, Queens Village, NY 11428-2015 2015-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770117574 Introgen, Inc. Durable Medical Equipment & Medical Supplies 212-27 Jamaica Ave, Queens Village, NY 11428 2020-03-02
1972084366 State of New York Comptrollers Office Clinic/Center Fineson Ddsoo Clinic, 80-45 Winchester Blvd Bldg 80, Queens Village, NY 11428 2018-08-24
1083108674 Patricia Ngozi Okoye-oyibo Licensed Practical Nurse Home Care At Its Best Inc., 221-21 Jamaica Ave, Queens Village, NY 11428 2018-06-18
1497278782 Jea Early Intervention Services Early Intervention Provider Agency 93-46 215 Street, Queens Village, NY 11428 2017-07-19
1649790569 Super Tech Wheelchair Service and Repair Inc Durable Medical Equipment & Medical Supplies 9420 210th Street, Queens Village, NY 11428 2017-06-21
1003368861 Anr Homecare Services, LLC Home Health 217-02 Jamaica Avenue 2nd Fl, Queens Village, NY 11428 2016-10-27
1619426327 Chinedu Ogueri Licensed Practical Nurse 9220 216 Th St, Queensvillage, NY 11428 2016-09-23
1083168520 Mma Shukur Registered Nurse 9111 218th St, Queens Village, NY 11428 2016-08-13
1548631880 Randall Ramnarain Pharmacist 102-05 Jamaica Ave, Richmond Hill, NY 11428 2015-10-13
1265809172 Jackie R. Chessen Consulting Early Intervention Provider Agency 221-17 91 Road, Queens Village, NY 11428 2015-08-26
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912470683 Ansari N Omar Registered Nurse 8756 Francis Lewis Blvd Apt A55, Queens Village, NY 11427-2830 2019-01-06
1336598572 Cheryl Armantrading Registered Nurse 8985 217th St, Queens Village, NY 11427-2413 2016-06-08
1083923098 Suzanne T Ally Registered Nurse 8602 208th St, Apt 3a, Queens Village, NY 11427-1677 2010-09-26
1588857064 Rosanne Hutchison Registered Nurse 92-11 221 St, Queens Village, NY 11428 2007-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871192575 Deni L Lobrutto Registered Nurse 80 Park Ln, Grand Island, NY 14072-3340 2020-10-22
1386243079 Melanie Yap Registered Nurse 5334 206th St, Oakland Gardens, NY 11364-1714 2020-10-22
1932707155 Nurselance Health LLC Registered Nurse 1044 E 105th St, Brooklyn, NY 11236-3002 2020-10-09
1487260063 Mei Ling Gilbert Registered Nurse 10 Woodside Ave, Elmsford, NY 10523-2810 2020-09-19
1164037180 Elizabeth Ann Primiano Registered Nurse 394 Ocean Ave, Massapequa, NY 11758-5228 2020-09-15
1508471236 Samantha Kate Saraceno Registered Nurse 107 Rumbold Ave, North Tonawanda, NY 14120-4623 2020-09-10
1831703826 Lateisha Freeman Registered Nurse 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 2020-09-07
1891307658 Jessica Ruggiero Registered Nurse 59 Rose St, Hastings On Hudson, NY 10706-3410 2020-08-21
1245842053 Mary Reiner Registered Nurse 16 Harold St, Nanuet, NY 10954-3733 2020-08-21
1982221164 Rebecca Armbrust Registered Nurse 225 Hilltop Dr, Elma, NY 14059-9412 2020-07-03
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Competitor

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City QUEENS VILLAGE
Zip Code 11428

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Dataset Information

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.

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