Active NPI
Shirina Ally
- Psychiatric/Mental Health Nurse Practitioner
- Cambria Heights, NY
National Provider Identifier
1114219011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403212
- Practice address
- 11568 225TH St
Cambria Heights, NY 11411-1235 - Phone
- (718) 341-0502
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 639106-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403212 | NY | Primary |
Addresses
Primary practice location
11568 225TH St
Cambria Heights, NY 11411-1235
Mailing address
11568 225TH St
Cambria Heights, NY 11411-1235
Phone (718) 341-0502
Other names 1
- Miss Shirina Ally
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250130001979 | NY | Practitioner - Nurse Practitioner | 4981077468 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639106-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Care NP in Psychiatry P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jamaica, NY
- NPI 1568272342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1114219011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11568 225TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111235",
"telephone_number": "718-341-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11568 225TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111235",
"telephone_number": "718-341-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLY",
"first_name": "SHIRINA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "639106-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRINA",
"last_name": "ALLY",
"prefix": "MISS",
"credential": "NP.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.