Nataliya Shaforost, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F336495-1 Issued in NY

Practice address

102-01 66TH Road
Forest Hills
Queens, NY 11375

Phone

(516) 359-6845

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Matrix Medical of New York PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1639433063
  Medicare reassignment NPD

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1841570744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102-01 66TH ROAD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "516-359-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-01 66TH ROAD",
            "address_2": "FOREST HILLS",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "516-359-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFOROST",
        "first_name": "NATALIYA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336495-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munam Sami, MBBS
• Renee Schemitz, LCSW, CASAC
• Therese Joy Pescante Selor, P.T
• Smana Seradieu, LMSW
• Irshaad Faraz Shaffeeullah, M.D.
• Derek Tsai Shang, CRNP
• Meghana Sharma, DMD
• Zain Shehzad
• Elizabeth A Siaw, MD
• Gurpreet Singh, PA-C

• Family Nurse Practitioner in Queens, NY
• Providers in Queens, 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 Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.