Jerome Shitteh, NP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

514256 Issued in NY

Practice address

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone

(716) 308-3576

NPI assigned

Aug 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1073769444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CRANBURNE LANE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142214971",
            "telephone_number": "716-308-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-308-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITTEH",
        "first_name": "JEROME",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-17",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430655-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "514256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Shinners
• Timi Jade Shiock-Piatkowski, DO
• Sarah Shipston
• Abdulhakim H Shire, LPN NURSE
• Tomi Shisler, F.N.P.
• Ashwin Shive Gowda, MBBS
• Tricia Ann Shivers, LCSW
• Bilal Shoaib, MBBS
• Fatima Shohagy, RDH
• Simin Shokrollahi Yancheshmeh

• Certified Registered Nurse Anesthetist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.