Individual provider Active NPI

Jurgen Shehaj, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1083513030
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
N64528 Issued in NY
Practice address
269 Malden PL Apt A57
Staten Island, NY 10306-4689
Phone
(718) 885-6736
NPI assigned
Nov 4, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X N64528 NY Primary

Addresses

Primary practice location

269 Malden PL Apt A57
Staten Island, NY 10306-4689

Mailing address

269 Malden PL Apt A57
Staten Island, NY 10306-4689
Phone (718) 885-6736

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": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1083513030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MALDEN PL APT A57",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064689",
            "telephone_number": "718-885-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MALDEN PL APT A57",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064689",
            "telephone_number": "718-885-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAJ",
        "first_name": "JURGEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N64528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.