Active NPI
Shadman Emrose Noshin, PA-C
- Medical Physician Assistant
- Bronx, NY
National Provider Identifier
1447815949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 3099 Bainbridge Ave
Bronx, NY 10467-3921 - Phone
- (347) 208-6479
- NPI assigned
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NY | Primary |
Addresses
Primary practice location
3099 Bainbridge Ave
Bronx, NY 10467-3921
Mailing address
3099 Bainbridge Ave
Bronx, NY 10467-3921
Phone (347) 208-6479
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
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1447815949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3099 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104673921",
"telephone_number": "347-208-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3099 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104673921",
"telephone_number": "347-208-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSHIN",
"first_name": "SHADMAN",
"middle_name": "EMROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.