Goutam Shiwnandan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304821-1 Issued in NY

Practice address

21 King Arthur CT
New City, NY 10956-6351

Phone

(845) 270-8936

NPI assigned

Oct 22, 2016

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1457802647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KING ARTHUR CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566351",
            "telephone_number": "845-270-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KING ARTHUR CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566351",
            "telephone_number": "845-270-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIWNANDAN",
        "first_name": "GOUTAM",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304821-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hinna Sheikh, LMSW
• Susanna Shepper, MD
• Bernard Soloman Sherman, DDS
• Maxx Sherman, LPN
• Nadine Sherman
• Rita Shneider, PT
• Randee Lynne Shuman, LCSWR
• Christine Sides
• Shari E Siegel-Goldman, M.D.
• Harvey Siegel

• Licensed Practical Nurse in New City, NY
• Providers in New City, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.