Clara Shamatanga

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

653162-1 Issued in NY

Practice address

21618 102 Avenue
Queens Village, NY 11429-1113

Phone

(516) 717-5298

NPI assigned

Mar 30, 2012

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

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1760758015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21618 102ND AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291113",
            "telephone_number": "516-717-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21618 102 AVENUE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291113",
            "telephone_number": "516-717-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMATANGA",
        "first_name": "CLARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "653162-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Sewell, RN
• Cathleen Mary Sexton, COTA/L
• Dipesh K. Shah
• Namrata Shah, MD
• Shahzad Iqbal Physician PLLC
• Lawrence Shapiro, PH.D
• Omar Shareef, MD
• Arooj Sharif
• Haniel Shen, M.D.
• Suzanne Sher, LMSW

• Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.