Sherine M Slack, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

776567-01 Issued in NY

Practice address

22115 Hempstead Ave Apt 2D
Queens Village, NY 11429-2106

Phone

(716) 418-3030

NPI assigned

Aug 3, 2022

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1154058709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22115 HEMPSTEAD AVE APT 2D",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292106",
            "telephone_number": "716-418-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22115 HEMPSTEAD AVE APT 2D",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292106",
            "telephone_number": "716-418-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "SHERINE",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "776567-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baljit K Singh, MD
• Cathleen Singh
• Harkarit Singh
• Tarlochan Singh
• Swati Singhal
• SLB Medical Associates
• Lisa Marie Cohen Slone, LCSW-R
• SMC Health Supply LLC
• Delores Smith
• Dorret Smith

• General Practice Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.