Active NPI
Shaheen Quanungo
- Physical Therapist
- Woodmere, NY
National Provider Identifier
1457622672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014848-1
- Practice address
- 784 Broadway
Woodmere, NY 11598-2633 - Phone
- (516) 312-2182
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014848-1 | NY | Primary |
Addresses
Primary practice location
784 Broadway
Woodmere, NY 11598-2633
Mailing address
784 Broadway
Woodmere, NY 11598-2633
Phone (516) 312-2182
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014848-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1457622672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 BROADWAY",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982633",
"telephone_number": "516-312-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 BROADWAY",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982633",
"telephone_number": "516-312-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUANUNGO",
"first_name": "SHAHEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014848-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.