Individual provider Active NPI

Shirel Eshaghzadeh

  • Registered Nurse
  • Great Neck, NY
National Provider Identifier
1053216507
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
50724 Issued in NY
Practice address
6 Magnolia Dr
Great Neck, NY 11021-1921
Phone
(516) 398-8857
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 50724 NY Primary

Addresses

Primary practice location

6 Magnolia Dr
Great Neck, NY 11021-1921

Mailing address

6 Magnolia Dr
Great Neck, NY 11021-1921
Phone (516) 398-8857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1053216507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAGNOLIA DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211921",
            "telephone_number": "516-398-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAGNOLIA DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211921",
            "telephone_number": "516-398-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAGHZADEH",
        "first_name": "SHIREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "50724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.