Stella Shobowale

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

535900-1 Issued in NY

Practice address

2929 Beach Channel Dr
Far Rockaway, NY 11691-1919

Phone

(718) 471-5978

Fax

(718) 471-5978

NPI assigned

Mar 16, 2010

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1811211121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911919",
            "telephone_number": "718-471-5978",
            "fax_number": "718-471-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911919",
            "telephone_number": "718-471-5978",
            "fax_number": "718-471-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBOWALE",
        "first_name": "STELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "535900-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheltering Arms
• Basi Shenker, MS.CCC/SLP
• Esther Sherman Mendlowitz, OTR/L
• Alexander Shilov, R.N.
• Michelle Shlomowitz, LMSW
• Benjamin Shollar, M.S., P.T.
• Anita Shulman, LCSW
• Shyan Jagdeo NP
• Chaim Siegel, PH.D.
• Feiga Hadassah Siegel, LCSW

• General Practice Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.