Organization Active NPI

Shoma B. Anam

  • Skilled Nursing Facility
  • Long Island City, NY
National Provider Identifier
1619299328
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
614206-01 Issued in NY
Legal business name
SHOMA B. ANAM
Practice address
3715 36TH Ave
Long Island City, NY 11101-1619
Phone
(347) 556-5953
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mrs. Shoma B. Anam
Title
RN
Phone
(347) 556-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 614206-01 NY Primary

Addresses

Primary practice location

3715 36TH Ave
Long Island City, NY 11101-1619

Mailing address

3715 36TH Ave
Long Island City, NY 11101-1619
Phone (347) 556-5953

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1619299328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011619",
            "telephone_number": "347-556-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011619",
            "telephone_number": "347-556-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOMA B. ANAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "ANAM",
        "authorized_official_first_name": "SHOMA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "347-556-5953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "614206-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.