Individual provider Active NPI

Shamdai Jainarain

  • Registered Nurse
  • Queens Village, NY
National Provider Identifier
1245698521
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
705030 Issued in NY
Practice address
9925 212TH St
PVT Home
Queens Village, NY 11429-1148
Phone
(718) 464-0907
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 705030 NY Primary

Addresses

Primary practice location

9925 212TH St
PVT Home
Queens Village, NY 11429-1148

Mailing address

9925 212TH St
PVT Home
Queens Village, NY 11429-1148
Phone (718) 464-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
705030NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1245698521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 212TH ST",
            "address_2": "PVT HOME",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291148",
            "telephone_number": "718-464-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 212TH ST",
            "address_2": "PVT HOME",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291148",
            "telephone_number": "718-464-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAINARAIN",
        "first_name": "SHAMDAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

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