Active NPI
Mona Shahbazi, N.P
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1306157920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 430520
- Practice address
- 535 E 70TH St
Hospital for Special Surgery
New York, NY 10021-4823 - Phone
- (212) 774-2361
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 430520 | NY | Primary |
Addresses
Primary practice location
535 E 70TH St
Hospital for Special Surgery
New York, NY 10021-4823
Mailing address
PO Box 29234
New York, NY 10087-9234
Phone (631) 329-6925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03387597 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured & Crippled Maintaining | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
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.
-
- Specialist
- Paramus, NJ
- NPI 1417357849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1306157920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29234",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879234",
"telephone_number": "631-329-6925",
"fax_number": "631-329-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"address_2": "HOSPITAL FOR SPECIAL SURGERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823",
"telephone_number": "212-774-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHBAZI",
"first_name": "MONA",
"name_prefix": "Ms.",
"credential": "N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "430520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03387597",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.