Active NPI
Shayna Nicole Whiteman, DDS
- Endodontics
- Rockaway, NJ
National Provider Identifier
1477916724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22DI02663502
- Practice address
- 141 US Highway 46 Lowr Level
Rockaway, NJ 07866-4018 - Phone
- (973) 625-3384
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22DI02663502 | NJ | Primary |
Addresses
Primary practice location
141 US Highway 46 Lowr Level
Rockaway, NJ 07866-4018
Mailing address
285 Aycrigg Ave Apt 5K
Passaic, NJ 07055-3722
Phone (718) 764-7290
Other practice location 1
101 S Bedford Rd Ste 410
Mount Kisco, NY 10549-3455
Phone (914) 241-1177
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02663502 | NJ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Putnam Endodontic Associates | Endodontics | Past | Accepting new patients |
| Westchester Putnam Endodontics | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Mount Kisco, NY
- NPI 1427180421
-
- Endodontics
- Mount Kisco, NY
- NPI 1679010920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1477916724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 AYCRIGG AVE APT 5K",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553722",
"telephone_number": "718-764-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 US HIGHWAY 46 LOWR LEVEL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664018",
"telephone_number": "973-625-3384"
}
],
"practiceLocations": [
{
"address_1": "101 S Bedford Rd Ste 410",
"address_purpose": "LOCATION",
"city": "Mount Kisco",
"state": "NY",
"postal_code": "105493455",
"country_code": "US",
"telephone_number": "914-241-1177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEMAN",
"first_name": "SHAYNA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI02663502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.