Organization Active NPI

NP on the Go

  • Adult Health Nurse Practitioner
  • Oceanside, NY
National Provider Identifier
1184084295
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307201 Issued in NY
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

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Lila Shams, N.P.NPI 1417213679
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)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A300137189OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.