Shirley Mauzoul, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

303794 Issued in NY

Practice address

1133 York Ave
New York, NY 10065-8307

Phone

(888) 646-7045

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

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

Interoperability endpoints

• Direct secure messaging: smauzoul35927@mskcc.direct-ci.com

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1154314920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658307",
            "telephone_number": "646-888-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658307",
            "telephone_number": "888-646-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUZOUL",
        "first_name": "SHIRLEY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303794",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "303794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02493263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Mauskop, MD
• Elizabeth Mausner, MD
• Irena K Mausner, DDS
• Joel Maute
• Barbara Sue Mautner, LCSW
• Christine Ann Mavaro, NURSE PRACTITIONER
• Albert Mavashev, RPA-C
• Rozet Mavashev
• Maven Clinic Administrators Inc.
• Maven Clinic Co.

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.