Active NPI
Shefa Bagum, RN
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1750296307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N00626-01
- Practice address
- 1070 Myrtle Ave
Brooklyn, NY 11206-5802 - Phone
- (212) 385-3030
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N00626-01 | NY | Primary |
Addresses
Primary practice location
1070 Myrtle Ave
Brooklyn, NY 11206-5802
Mailing address
550 Drew St
Brooklyn, NY 11208-3419
Phone (347) 216-2435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1750296307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 DREW ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083419",
"telephone_number": "347-216-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065802",
"telephone_number": "212-385-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGUM",
"first_name": "SHEFA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "N00626-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.