Shirley Nelson DO PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

200298 Issued in NY

Legal business name

SHIRLEY NELSON DO PC

Practice address

55 Old Nyack Tpke
Suite 507
Nanuet, NY 10954-2461

Phone

(845) 352-2899

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Shirley Nelson, DONPI 1871654897

Title

Doctor

Phone

(845) 352-2899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14605/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Nelson, D.O.

  • Family Medicine Physician
  • Nanuet, NY
  • NPI 1871654897
  Medicare reassignment Authorized official
• Arshad Nelson, FNP

  • Family Nurse Practitioner
  • Nanuet, NY
  • NPI 1205342508
  Medicare reassignment

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1073992285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "SUITE 507",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "845-352-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD NYACK TPKE",
            "address_2": "SUITE 507",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "845-352-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY NELSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "845-352-2899",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "200298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari L Bernstein, Inc.
• Parvesh K Sharma, MD
• Fayyaz A Sheikh, M.D.
• Ariel Sherbany, M.D., PH.D.
• Neil Shinder, M.D.
• Shop in All LLC
• Kamile Shue
• Elliot J Siegal, MD
• Constance Silva
• Batia Adell Silverman-Zagelbaum, CNM/NP

• Primary Care Clinic/Center in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.