Individual provider Active NPI

Shaned Spielman

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1457057986
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351552 Issued in NY
Practice address
24 S Devoe Ave
Yonkers, NY 10705-4728
Phone
(914) 338-6800
Fax
(914) 751-2541
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 351552 NY Primary
Registered Nurse 163W00000X 577697 NY

Addresses

Primary practice location

24 S Devoe Ave
Yonkers, NY 10705-4728

Mailing address

24 S Devoe Ave
Yonkers, NY 10705-4728
Phone (914) 338-6800

Other identifiers 2

IdentifierTypeStateIssuer
07724909MedicaidNY
PAROtherNYMEDICARE

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
I20230919002296 NY Practitioner - Nurse Practitioner 4082078480 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 S Devoe Ave
Yonkers, NY 10705-4728
Phone (914) 338-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
577697NYMDRegistered Nurse
351552NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Aug 9, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 9, 2023 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Aug 9, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 9, 2023 Accepting new patients
Healthy Lifestyle Care NP in Family Health PLLC CurrentSince Aug 3, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Aug 9, 2023 Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1037 Morris Ave
Bronx, NY 10456
Phone (718) 293-3774

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1457057986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S DEVOE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054728",
            "telephone_number": "914-338-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S DEVOE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054728",
            "telephone_number": "914-338-6800",
            "fax_number": "914-751-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELMAN",
        "first_name": "SHANED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351552",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "577697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07724909",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PAR",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.