Shante Brady, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346677 Issued in NY

Practice address

7256 Route 209
Wawarsing, NY 12489-2016

Phone

(845) 647-5334

NPI assigned

Oct 30, 2020

Last updated

Oct 1, 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 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

RB Heart and Vascular Care PLLCGroup PAC ID 9335501634, 19 clinicians

Comprehensive Ny Professional Medical PLLCGroup PAC ID 1153769708, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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

• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment Care Compare group NPD
• Comprehensive Ny Professional Medical PLLC

  dba Family Medcare

  • Internal Medicine Physician
  • Wawarsing, NY
  • NPI 1750157111
  Medicare reassignment Care Compare group NPD
• RB Heart and Vascular Care PLLC

  dba Epic Heart and Vascular Care

  • Interventional Cardiology Physician
  • Suffern, NY
  • NPI 1902580681
  Medicare reassignment Care Compare group NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• Essen Medical Urgicare, PLLC

  dba Metro Urgicare

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment NPD
• House Call Medical Services of New York, PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1851345946
  Medicare reassignment NPD
• Ion Oltean Physician PC

  • Internal Medicine Physician
  • Bayside, NY
  • NPI 1912236811
  Medicare reassignment NPD
• Mehri Songhorian MD PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Great Neck, NY
  • NPI 1932342276
  Medicare reassignment NPD
• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment NPD
• Simply Primary Care

  • Family Nurse Practitioner
  • Middletown, NY
  • NPI 1376287243
  NPD Authorized official
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1669072344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BLOOMINGBURG RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109408436",
            "telephone_number": "845-407-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 ROUTE 209",
            "city": "WAWARSING",
            "state": "NY",
            "postal_code": "124892016",
            "telephone_number": "845-647-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 State Route 17K",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "NY",
            "postal_code": "125492213",
            "country_code": "US",
            "telephone_number": "845-457-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SHANTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346677",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "346677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley M Carpenter
• Thomas M Carpenter Jr.
• Comprehensive Ny Professional Medical PLLC (Family Medcare)
• TMC Transportation
• Vladimir Andries PC

• Family Nurse Practitioner in Wawarsing, NY
• Providers in Wawarsing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.