Individual provider Active NPI

Shabeena S Hirani

  • Family Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1841793403
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342797 Issued in NY
Practice address
8720 Queens Blvd
Elmhurst, NY 11373-4419
Phone
(718) 280-9680
Fax
(718) 899-3300
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342797 NY Primary

Addresses

Primary practice location

8720 Queens Blvd
Elmhurst, NY 11373-4419

Mailing address

8720 Queens Blvd
Elmhurst, NY 11373-4419
Phone (718) 280-9680

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180328002334 NY Practitioner - Nurse Practitioner 2365704566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VXL Medical Care PCGroup PAC ID 8527166081, 2 clinicians

Practice addresses (Care Compare)

8720 Queens Blvd
Elmhurst, NY 11373-4419
Phone (718) 280-9680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F342797NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VXL Medical Care PC CurrentSince Mar 19, 2018 Accepting new patients
Jian Cui, Dermatology, P.C. PastSince Mar 19, 2018 Accepting new patients

Locations

8720 Queens Blvd
Elmhurst, NY 11373
Phone (718) 672-2113

8812 Queens Blvd
Flushing, NY 11373
Phone (516) 830-5444

160 Broadway
Rm 1107
New York, NY 10038
Phone (646) 661-4386

325 Main St
Northport, NY 11768
Phone (631) 261-4445

6110 Queens Blvd
Woodside, NY 11377
Phone (718) 397-2002

Interoperability endpoints

  • Direct secure messaging: shabeenahnp@vmcp-oh.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1841793403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734419",
            "telephone_number": "718-280-9680",
            "fax_number": "718-899-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734419",
            "telephone_number": "718-280-9680",
            "fax_number": "718-899-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRANI",
        "first_name": "SHABEENA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.