Individual provider Active NPI

Shabana Zafar

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1780206706
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
791509 Issued in NY
Practice address
1863 Flatbush Ave Apt 2-R
Brooklyn, NY 11210-4840
Phone
(347) 210-7594
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 791509 NY Primary

Addresses

Primary practice location

1863 Flatbush Ave Apt 2-R
Brooklyn, NY 11210-4840

Mailing address

1863 Flatbush Ave Apt 2-R
Brooklyn, NY 11210-4840
Phone (347) 210-7594

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

State licenses

LicenseStateTypeSpecialty
791509NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1780206706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 FLATBUSH AVE APT 2-R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104840",
            "telephone_number": "347-210-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 FLATBUSH AVE APT 2-R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104840",
            "telephone_number": "347-210-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFAR",
        "first_name": "SHABANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "791509",
            "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 May 13, 2020; 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.