Active NPI
Shirley Juste
- Licensed Practical Nurse
- Flushing, NY
National Provider Identifier
1770860413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 262516
- Practice address
- 13437 60 Avenue
1L
Flushing, NY 11355-5252 - Phone
- (347) 837-8415
- NPI assigned
- Nov 9, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 262516 | NY | Primary |
Addresses
Primary practice location
13437 60 Avenue
1L
Flushing, NY 11355-5252
Mailing address
13437 60TH Ave
2ND Floor
Flushing, NY 11355-5252
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJM Management Solutions LLC | Licensed Practical Nurse | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Licensed Practical Nurse
- Amityville, NY
- NPI 1215735394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1770860413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13437 60TH AVE",
"address_2": "2ND FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13437 60 AVENUE",
"address_2": "1L",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555252",
"telephone_number": "347-837-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTE",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "262516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.