Shirley Pang, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

620846 Issued in NY

Practice address

9131 Queens Blvd
Suite 604
Elmhurst, NY 11373-5501

Phone

(516) 606-7369

NPI assigned

Feb 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1457673188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PENNYFIELD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653464",
            "telephone_number": "516-606-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 604",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735501",
            "telephone_number": "516-606-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "SHIRLEY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "620846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palo Physical Therapy and Rehabilitation PC
• Linda Hong Pan, DDS
• Asmita Aryal Panday, MD
• Ekta Pandit, PT
• Sikander Azeem Panezai, MD
• Carine Panier
• Ellie Pappas, LCSW
• Roland Paqueo, DPT
• Abigail Paracha
• Paradigm OB/GYN Services, PC

• Registered Nurse in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.