Ifat Jacqueline Shahar, MED, RCEP, CDCEC

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

1000239 Issued in MA

Practice address

116 Florence St Apt C
Chestnut Hill, MA 02467-1937

Phone

(857) 891-6190

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1639817265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FLORENCE ST APT C",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671937",
            "telephone_number": "857-891-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FLORENCE ST APT C",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671937",
            "telephone_number": "857-891-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAR",
        "first_name": "IFAT",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "MED, RCEP, CDCEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "MA",
            "license": "1000239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fit_is_it@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "116 Florence St Apt C",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024671937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Semanchik
• Mary Frances Sennott, PNP
• Jennifer Servant
• Harvey Ashor Shaff, DMD
• Anar Shah, RD
• Rodman K Shale, DMD
• Vandhana Sharda, OD
• Julia Shaughnessy, NP
• Khayam Shaukat, M.D
• William D. Shea, M.D.

• Clinical Exercise Physiologist in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Clinical Exercise Physiologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.