Sherif Shittu

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

653776 Issued in NY

Practice address

7559 263Rd St
Glen Oaks, NY 11004

Phone

(718) 470-8100

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1144886672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 E 87TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365137",
            "telephone_number": "718-676-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 263RD ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHITTU",
        "first_name": "SHERIF",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "653776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gauri Ganesh Shastri
• Marian B Shea, NP
• Chitra Mangalpady Shenoy, M.D.
• Joseph Sherman
• Andrew Shimkus, PSY.D.
• Mitchell Shuwall, PHD
• Jean Dorcy Simon, DPT
• Deepan Singh, M.D.
• Prabhdeep Singh, PA-C
• Priya Singh, PA-C

• Registered Nurse in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.