Shubrata Dey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349573 Issued in NY

Practice address

16410 Northern Blvd Ste 204
Flushing, NY 11358-2668

Phone

(718) 886-2011

Fax

(929) 333-7950

NPI assigned

Sep 25, 2019

Last updated

May 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollis Ak LLC

  dba HealthMed Diagnostic & Treatment Center

  • Multi-Specialty Clinic/Center
  • Jamaica, NY
  • NPI 1295454650
  Medicare reassignment NPD
• Eastern Physical Medicine and Rehabilitation PC

  • Supports Brokerage Agency
  • Kings Park, NY
  • NPI 1780819383
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1457902058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD STE 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582668",
            "telephone_number": "718-886-2011",
            "fax_number": "929-333-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD STE 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582668",
            "telephone_number": "718-886-2011",
            "fax_number": "929-333-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "SHUBRATA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004216",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darda Deterville
• Gabrielle Deutsch
• Rutvi Pravinbhai Devani
• Rozario Chevana Devaraj, LCSWR CASAC
• Danielle Devine, SLP
• Megan Deyarmond, MD
• Ashima Dhamija, MD
• Dhayaparan Medical P.C.
• Sellathurai K Dhayaparan, MD
• Bhakti Dherai, PT

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.