Shalane Persaud-Niwaz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341802 Issued in NY

Practice address

1600 Deer Park Ave
Deer Park, NY 11729-5208

Phone

(347) 730-2381

NPI assigned

Dec 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Shahzad Iqbal Physician PLLC

  • Gastroenterology Physician
  • Queens Village, NY
  • NPI 1316331168
  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1821532417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOXMEADOW DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465230",
            "telephone_number": "347-730-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295208",
            "telephone_number": "347-730-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD-NIWAZ",
        "first_name": "SHALANE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9386679",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaydian Perkins
• Raymond Harry Perlman, LCSW
• Mauro Steven Perna, B.S.
• Perry Physical Medicine & Rehabilitation, P.C.
• Leyonda Perry
• Personalized Prescriptions Inc.
• Blandine Petit-Frere
• Deborah M Petry, LCSW-R
• Lori A Phelan, MSW
• Leadine Pierre-Louis

• Family Nurse Practitioner in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.