Individual provider Active NPI

Jonathan Adar Shectman, NP

  • Registered Nurse First Assistant
  • New York, NY
National Provider Identifier
1316558596
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
979934 Issued in NY
Practice address
610 W 58TH St
New York, NY 10019-1005
Phone
(212) 606-1136
Fax
(212) 606-1109
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 356658 NY
Registered Nurse First Assistant 163WR0006X 979934 NY Primary

Addresses

Primary practice location

610 W 58TH St
New York, NY 10019-1005

Mailing address

PO Box 626
Great River, NY 11739-0626
Phone (212) 606-1166

Other practice location 1

535 E 70th St
New York, NY 10021-4823
Phone (212) 606-1136

Other practice location 2

333 Earle Ovington Blvd Ste 106
Uniondale, NY 11553-3645
Phone (212) 606-1136

Other practice location 3

541 E 71st St Fl 1
New York, NY 10021-4871
Phone (212) 606-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220207001284 CA Practitioner - Nurse Practitioner 2769875111 Reassigns benefits to 1 organization
I20250806001305 NY Practitioner - Nurse Practitioner 2769875111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danyal Nawabi MD PCGroup PAC ID 6507249455, 2 clinicians

Practice addresses (Care Compare)

610 W 58TH St
FL 4
New York, NY 10019-1005
Phone (212) 606-1136

Hospital & facility affiliations

  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
979934NYMDRegistered Nurse First Assistant
356658NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopedic Institute Inc CurrentSince Dec 13, 2021 Accepting new patients
Valley Orthopedic Institute Inc CurrentSince Dec 13, 2021 Accepting new patients
Danyal Nawabi MD PC CurrentSince Aug 1, 2025 Accepting new patients
Lawrence V. Gulotta MD PC PastSince Nov 3, 2024 Accepting new patients
East River Medical Associates P.C. PastSince Aug 1, 2025 Accepting new patients

Locations

647 W Avenue Q
Ste Ac
Palmdale, CA 93551
Phone (661) 949-8643

647 W Avenue Q
Palmdale, CA 93551
Phone (661) 949-8643

1533 N Downs St
Ridgecrest, CA 93555
Phone (760) 446-2900

541 E 71st St
Fl 1
New York, NY 10021
Phone (212) 606-1136

541 E 71st St
New York, NY 10021
Phone (212) 606-1136

535 E 70th St
New York, NY 10021

610 W 58th St
Fl 4
New York, NY 10019
Phone (212) 606-1136

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1316558596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390626",
            "telephone_number": "212-606-1166",
            "fax_number": "212-606-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191005",
            "telephone_number": "212-606-1136",
            "fax_number": "212-606-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214823",
            "country_code": "US",
            "telephone_number": "212-606-1136",
            "fax_number": "212-609-1109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 EARLE OVINGTON BLVD STE 106",
            "address_purpose": "LOCATION",
            "city": "Uniondale",
            "state": "NY",
            "postal_code": "115533645",
            "country_code": "US",
            "telephone_number": "212-606-1136",
            "fax_number": "212-606-1109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 E 71st St Fl 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214871",
            "country_code": "US",
            "telephone_number": "212-606-1136",
            "fax_number": "212-606-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHECTMAN",
        "first_name": "JONATHAN",
        "middle_name": "ADAR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356658",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "979934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.