Active NPI
Shashi P. Duggal, RN
- Registered Nurse
- Bayside, NY
National Provider Identifier
1376708545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 303362-1
- Practice address
- 3240 201St St
Bayside, NY 11361-1016 - Phone
- (718) 428-6719
- NPI assigned
- Jul 27, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 303362-1 | NY | Primary |
Addresses
Primary practice location
3240 201St St
Bayside, NY 11361-1016
Mailing address
6331 110TH St
Apt.2a
Forest Hills, NY 11375-1463
Phone (646) 267-4025
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303362-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1376708545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 110TH ST",
"address_2": "APT.2A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751463",
"telephone_number": "646-267-4025",
"fax_number": "631-737-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 201ST ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611016",
"telephone_number": "718-428-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAL",
"first_name": "SHASHI",
"middle_name": "P.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-27",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "303362-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.