Active NPI
Shirley Esther Ackerman, PH.D., CRRN-A, CDE
- Rehabilitation Registered Nurse
- New York, NY
National Provider Identifier
1033155155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- 354773-1
- Practice address
- 530 1St Ave
HCC-9
New York, NY 10016-6402 - Phone
- (212) 263-0572
- Fax
- (212) 253-7476
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 354773-1 | NY | |
| Rehabilitation Registered Nurse | 163WR0400X | 354773-1 | NY | Primary |
Addresses
Primary practice location
530 1St Ave
HCC-9
New York, NY 10016-6402
Mailing address
22 Brookfield Ave
Staten Island, NY 10308-2247
Phone (212) 263-0572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354773-1 | NY | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033155155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BROOKFIELD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082247",
"telephone_number": "212-263-0572",
"fax_number": "212-263-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 1ST AVE",
"address_2": "HCC-9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-0572",
"fax_number": "212-253-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "SHIRLEY",
"middle_name": "ESTHER",
"credential": "PH.D., CRRN-A, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "354773-1",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "NY",
"license": "354773-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.