Shining Light Family Health NP PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHINING LIGHT FAMILY HEALTH NP PC

Practice address

1030 Sheridan Ave
Bronx, NY 10456

Phone

(516) 971-1824

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Lidia Virgil

Title

President/Ceo

Phone

(516) 971-1824

Specialties & licenses 1

Addresses

Other names 1

• Advanced Preventive Medicine Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Beltran, NP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1407234503
  NPD
• Mythily Ramanathan, MD

  • Family Medicine Physician
  • Bellerose, NY
  • NPI 1235657925

  Single Specialty

  NPD

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1497240683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341670",
            "telephone_number": "212-567-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SHERIDAN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "516-971-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "VIRGIL",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "516-971-1824"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Preventive Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoonhee Shin
• Tess Shinbaum
• Eliane Shinder
• Erin M Shindle, PMHNP
• Robert Shindler
• Shining Rainbow Transportaion Inc
• Shlomo Shinnar, MD,PH.D
• Telegre M Shipman
• Alycea Karen Shirley, LMT
• Lancelot A Shirley

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.