Individual provider Active NPI

Shirley Ohevshalom, FNP

  • School Registered Nurse
  • New Hyde Park, NY
National Provider Identifier
1134597040
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
627812 Issued in NY
Practice address
1983 Marcus Ave
New Hyde Park, NY 11042-2000
Phone
(516) 326-5600
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347071 NY
Family Nurse Practitioner 363LF0000X F347071-01 NY
School Registered Nurse 163WS0200X 627812 NY Primary

Addresses

Primary practice location

1983 Marcus Ave
New Hyde Park, NY 11042-2000

Mailing address

19 Carriage Rd
Great Neck, NY 11024-1445

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712003275 NY Practitioner - Nurse Practitioner 2163824236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Housecalls Medicine Ny PCGroup PAC ID 7517358054, 31 clinicians

Practice addresses (Care Compare)

5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
627812NYMDSchool Registered Nurse
347071NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecalls Medicine Ny East PC CurrentSince Nov 12, 2025 Accepting new patients
Sheryl a Pearl MD PC CurrentSince Jun 1, 2021 Accepting new patients
Housecalls Medicine Ny PC CurrentSince Jun 1, 2023 Accepting new patients
Housecalls Medicine Ny West PC CurrentSince Nov 12, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

5 Penn Plz
Fl 19
New York, NY 10001
Phone (718) 360-9370

2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681

11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1134597040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CARRIAGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "516-326-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEVSHALOM",
        "first_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347071-01",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "627812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.