Shyan Jagdeo NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SHYAN JAGDEO NP

Practice address

3224 Anchor Dr
Far Rockaway, NY 11691-1602

Phone

(718) 450-6604

Fax

(516) 531-8944

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Shyan Jagdeo, NP

Title

President

Phone

(718) 450-6604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1508694076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 ANCHOR DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911602",
            "telephone_number": "718-450-6604",
            "fax_number": "516-531-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 ANCHOR DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911602",
            "telephone_number": "718-450-6604",
            "fax_number": "516-531-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAN JAGDEO NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "JAGDEO",
        "authorized_official_first_name": "SHYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-450-6604",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Shilov, R.N.
• Michelle Shlomowitz, LMSW
• Stella Shobowale
• Benjamin Shollar, M.S., P.T.
• Anita Shulman, LCSW
• Chaim Siegel, PH.D.
• Feiga Hadassah Siegel, LCSW
• Jayce Siegel
• Shoshana Malka Siff
• Sarah Sigman

• Nurse Practitioner in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.