Individual provider Active NPI

Shayna Lasala, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1740141225
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357710 Issued in NY
Practice address
55 E 87TH St Ste 1F
New York, NY 10128-1049
Phone
(212) 280-4740
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 357710 NY Primary

Addresses

Primary practice location

55 E 87TH St Ste 1F
New York, NY 10128-1049

Mailing address

103 State Park Rd
Chester, NJ 07930-3217
Phone (908) 246-3334

Other practice location 1

315 W 70th St
New York, NY 10023-3504
Phone (212) 280-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260112001202 NY Practitioner - Nurse Practitioner 7618453481 Reassigns benefits to 1 organization
I20260319000610 NJ Practitioner - Nurse Practitioner 7618453481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 State Park Rd
Chester, NJ 07930-3217

300 W 108TH St
Apt 13a
New York, NY 10025-2788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
357710NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. CurrentSince Dec 1, 2025 Accepting new patients
American Chiropractic Enterprise PLLC Past Accepting new patients
Practice Associates Medical Group PastSince Feb 10, 2026 Accepting new patients

Locations

219 Driggs Ave
Ste 1M
Brooklyn, NY 11222

219 Driggs Ave
Brooklyn, NY 11222

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

315 W 70th St
New York, NY 10023
Phone (212) 724-4704

598 Broadway
Fl 2
New York, NY 10012
Phone (212) 219-7716

315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

55 E 87th St
Ste 1F
New York, NY 10128
Phone (212) 427-2131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1740141225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 STATE PARK RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079303217",
            "telephone_number": "908-246-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 87TH ST STE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281049",
            "telephone_number": "212-280-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100233504",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASALA",
        "first_name": "SHAYNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.