Active NPI
NP on the Go
- Adult Health Nurse Practitioner
- Oceanside, NY
National Provider Identifier
1184084295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307201
- Legal business name
- NP ON THE GO
- Practice address
- 3444 Knight St
Oceanside, NY 11572-4639 - Phone
- (917) 864-3822
- Fax
- (800) 557-3140
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lila Shams, N.P.
- Title
- Nurse Practitioner
- Phone
- (917) 864-3822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307201 | NY | Primary |
Addresses
Primary practice location
3444 Knight St
Oceanside, NY 11572-4639
Mailing address
3444 Knight St
Oceanside, NY 11572-4639
Phone (917) 864-3822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A300137189 | Other | NY | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Woodmere, NY
- NPI 1417213679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456876800000",
"number": "1184084295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 KNIGHT ST",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115724639",
"telephone_number": "917-864-3822",
"fax_number": "800-557-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KNIGHT ST",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115724639",
"telephone_number": "917-864-3822",
"fax_number": "800-557-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NP ON THE GO",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2016-03-02",
"status": "A",
"authorized_official_last_name": "SHAMS",
"authorized_official_first_name": "LILA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "917-864-3822",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A300137189",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.