Patricia Shine, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F354328-01 Issued in NY

Practice address

150 Sunrise Hwy Ste 201
Lindenhurst, NY 11757-2539

Phone

(631) 444-5544

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1295576007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S KETCHAM AVE APT C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013527",
            "telephone_number": "631-478-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SUNRISE HWY STE 201",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572539",
            "telephone_number": "631-444-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354328-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaport Dental
• Serenity Mind & Wellness Inc.
• Veronica Sessa
• Ali Shahab
• Sherrie Glasser Physical Therapy John Douglas Physical Therapist Asst
• Katya A Shpilberg, M.D.
• Elise H. Shreck, MD
• Mrugank Shukla, MD, MPH
• Dara Sieber
• Poonam Sikand, MSED

• Family Nurse Practitioner in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.