Individual provider Active NPI

Shenezah Nazia Rasheed, NP

  • Pediatric Nurse Practitioner
  • Cambria Heights, NY
National Provider Identifier
1306417506
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383282 Issued in NY
Practice address
20701 116TH Ave
Cambria Heights, NY 11411-1038
Phone
(929) 460-5759
NPI assigned
Jul 8, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383282 NY Primary

Addresses

Primary practice location

20701 116TH Ave
Cambria Heights, NY 11411-1038

Mailing address

20701 116TH Ave
Cambria Heights, NY 11411-1038
Phone (929) 460-5759

Other practice location 1

13002 115th Ave
South Ozone Park, NY 11420-2122
Phone (718) 558-1310

Other practice location 2

12520 Sutphin Blvd
Jamaica, NY 11434-2340
Phone (718) 558-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222002489 NY Practitioner - Nurse Practitioner 5991175515 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383282NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Jan 1, 2025 Accepting new patients
Jamaica Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

20701 116th Ave
Cambria Heights, NY 11411
Phone (718) 206-9888

12520 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 322-9086

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13002 115th Ave
South Ozone Park, NY 11420
Phone (718) 322-4850

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: srasheed272028@direct.medisys.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1306417506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 116TH AVE",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111038",
            "telephone_number": "929-460-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 116TH AVE",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111038",
            "telephone_number": "929-460-5759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13002 115th Ave",
            "address_purpose": "LOCATION",
            "city": "South Ozone Park",
            "state": "NY",
            "postal_code": "114202122",
            "country_code": "US",
            "telephone_number": "718-558-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12520 Sutphin Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114342340",
            "country_code": "US",
            "telephone_number": "718-558-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "SHENEZAH",
        "middle_name": "NAZIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.