Shannen-Czarina Bala

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

821878-01 Issued in NY

Practice address

1983 Marcus Ave Ste E100E110
New Hyde Park, NY 11042-2000

Phone

(516) 497-7600

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659115046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CEDAR SWAMP RD APT 2",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115424376",
            "telephone_number": "516-851-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE E100E110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "516-497-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "SHANNEN-CZARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "821878-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernardina Garcia Baes-Abayev, RN MSN FNP-BC
• Iyla Bagheri
• Nishant Bagul
• Shiv Ishwar Bajaj, MD
• Nataliya Baketova, SRNA
• Balance Physical Therapy & Rehabilitation PLLC
• Baljit Kaur Medical PLLC
• Ronald A Balkin, MD
• Maureen Balram, NP
• Danielle Marissa Balsam, DNP, FNP-BC

• School Registered Nurse in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.