PEDRAM SHADIBAKHSH (NPI# 1801408000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801408000 |
| Entity Type | Individual |
| Full Name | PEDRAM SHADIBAKHSH |
| Credential | FNP |
| Practice Address |
1078 E 32nd St Brooklyn NY 11210-4131 |
| Practice Telephone | 9174502219 |
| Mailing Telephone | 9174502219 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346452 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1078 E 32ND ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 1710588389 | Patricia Ayozie | Nurse Practitioner | 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 | 2020-11-02 |
| 1598363657 | Anna Kleyner | Nurse Practitioner | 2730 Neptune Ave, Brooklyn, NY 11224-2060 | 2020-10-12 |
| 1861090193 | Cheyenne Alexia James | Nurse Practitioner | 358 Halsey St, Brooklyn, NY 11216-2412 | 2020-10-09 |
| 1821605213 | Dudmire Belizaire | Nurse Practitioner | 1267 Ryder St, Brooklyn, NY 11234-2816 | 2020-09-29 |
| 1003423716 | Iris Yuen | Nurse Practitioner | 8609 18th Ave, Brooklyn, NY 11214-3701 | 2020-09-26 |
| 1144832833 | Julia Kogan | Nurse Practitioner | 2544 E 23rd St, Brooklyn, NY 11235-2506 | 2020-08-23 |
| 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.