Individual provider Active NPI

Shaneeza O'Brian, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1588972145
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338432-1 Issued in NY
Practice address
2182 Pitkin Ave FL 1
Brooklyn, NY 11207-3613
Phone
(718) 571-9177
Fax
(718) 571-9178
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 618403 NY
Family Nurse Practitioner 363LF0000X F338432-1 NY Primary

Addresses

Primary practice location

2182 Pitkin Ave FL 1
Brooklyn, NY 11207-3613

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Other practice location 1

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Other practice location 2

1 Keener Bldg
Ward's Island, NY 10035-6002
Phone (347) 377-5913

Other identifiers 6

IdentifierTypeStateIssuer
RN290917OtherGAREGISTERED PROFESSIONAL NURSE
95218638OtherCARN
APRN9449582OtherFLCERTIFIED NP
26NR21296400OtherNJREGISTERED PROFESSIONAL NURSE
RN9449582OtherFLRN
618403OtherNYREGISTERED PROFESSIONAL NURSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160523000069 NY Practitioner - Nurse Practitioner 1052600665 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians
NYU Langone HospitalsGroup PAC ID 4981515699, 245 clinicians
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

15 Saint Pauls PL
Great Neck, NY 11021-2636
Phone (646) 296-1508

301 E 17TH St
New York, NY 10003-3804
Phone (212) 598-2454

955 Yonkers Ave
Suite 102
Yonkers, NY 10704-3062
Phone (347) 667-7924

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
618403NYMDRegistered Nurse
F338432-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Apr 1, 2020 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Apr 1, 2016 Accepting new patients
Tristate Physician Services PC CurrentSince Nov 12, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Apr 1, 2016 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Feb 13, 2023 Accepting new patients
Essen Medical Associates,PC CurrentSince Apr 1, 2020 Accepting new patients
NYU Langone Hospitals Registered Nurse CurrentSince Mar 14, 2021 Accepting new patients
NYU Langone Hospitals CurrentSince Mar 14, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Apr 1, 2020 Accepting new patients
Mill Basin Medical Health PC CurrentSince Apr 9, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 1, 2020 Accepting new patients
Bronx Medical Practice P.C. Past Accepting new patients
Suny Downstate Medical Center PastSince Mar 1, 2018 Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1110 Pennsylvania Ave
Ste 7
Brooklyn, NY 11207
Phone (718) 498-1111

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

15 Saint Pauls Pl
Great Neck Plaza, NY 11021
Phone (516) 466-3001

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

500 Fashion Ave
New York, NY 10018
Phone (212) 642-3451

153 W 27th St
Ste 1100
New York, NY 10001
Phone (833) 947-4927

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sobrian34110@nyumc.direct-ci.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1588972145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 PITKIN AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073613",
            "telephone_number": "718-571-9177",
            "fax_number": "718-571-9178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534303",
            "country_code": "US",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Keener Bldg",
            "address_purpose": "LOCATION",
            "city": "Ward's Island",
            "state": "NY",
            "postal_code": "100356002",
            "country_code": "US",
            "telephone_number": "347-377-5913",
            "fax_number": "718-599-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIAN",
        "first_name": "SHANEEZA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-12-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "618403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338432-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "RN290917",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "95218638",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NP",
            "identifier": "APRN9449582",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "26NR21296400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN9449582",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "618403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.