Sindhu Shaji III

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

300465 Issued in NY

Practice address

34 Lillie LN
Staten Island, NY 10314-6358

Phone

(646) 664-6021

NPI assigned

Nov 1, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1851868350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LILLIE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146358",
            "telephone_number": "646-664-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LILLIE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146358",
            "telephone_number": "646-664-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAJI",
        "first_name": "SINDHU",
        "name_prefix": "Mrs.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2997157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ibraheem Shahadat
• Laura Ann Shahnazarian, M.D.
• Vahe Sis Shahnazarian, M.D.
• Salar Shahzad, MD
• Shilpa Shajan, RN
• Aleeza Shakeel
• Madona Shaker
• Mariam Shaker
• Vikram M Shaker, M.D.
• Alla Shakhanova, MD

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.