Individual provider Active NPI

Shazia Josephine Joseph, APRN

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1336703586
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8172 Issued in CT
Practice address
518 Derby Ave
West Haven, CT 06516-1008
Phone
(209) 997-0155
Fax
(203) 997-0462
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8172 CT Primary

Addresses

Primary practice location

518 Derby Ave
West Haven, CT 06516-1008

Mailing address

1427 Chapel St
New Haven, CT 06511-4403
Phone (203) 865-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190516001843 CT Practitioner - Nurse Practitioner 9133462047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjay AggarwalGroup PAC ID 4183647654, 7 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1427 Chapel St
New Haven, CT 06511-4403
Phone (203) 865-3880

500 Elm St
West Haven, CT 06516-4270
Phone (203) 479-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8172CTMDPharmacist
12.008172CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Aggarwal CurrentSince May 1, 2020 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Aug 15, 2022 Accepting new patients

Locations

1427 Chapel St
New Haven, CT 06511
Phone (203) 553-7951

12 Village St
Ste 5
North Haven, CT 06473
Phone (203) 787-5115

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

518 Derby Ave
West Haven, CT 06516
Phone (203) 979-9440

500 Elm St
West Haven, CT 06516
Phone (203) 479-3600

Interoperability endpoints

  • Direct secure messaging: jshazia114384@direct.ynhh.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1336703586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114403",
            "telephone_number": "203-865-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 DERBY AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161008",
            "telephone_number": "209-997-0155",
            "fax_number": "203-997-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SHAZIA",
        "middle_name": "JOSEPHINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.