Shirielle Tziporah Avakian, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Holmdel, NJ
NPI 1861092009 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1861092009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ010549000 (NJ)
- Practice address
- 723 N Beers St
Holmdel, NJ 07733-1517 - Phone
- (908) 601-0359
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216000984 | NJ | Practitioner - Nurse Practitioner | 9335551324 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ010549000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean County Family Care, P.a. | Current |
Accepting new patients | |
| Ennoble HC NJ II PC | Current |
Accepting new patients | |
| Liberty Med Associates LLC | Current |
Accepting new patients | |
| Ennoble HC NJ PC | Current |
Accepting new patients | |
| Dr. Magdy Nasra MD PC | Current |
Accepting new patients | |
| Somc Medical Group PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current |
Accepting new patients | |
| New Jersey Post Acute Medical Services 1 PA | Past |
Accepting new patients |
Locations
2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
723 N Beers St
Ste 2C
Holmdel, NJ 07733
Phone (732) 888-8255
303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540
66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051
9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ010549000 | NJ | Yes |
Addresses
Primary practice location
723 N Beers St
Holmdel, NJ 07733-1517
Mailing address
520 Wakefield Rd
Neptune, NJ 07753-4235
Other providers in Holmdel, NJ
- Audiology Island of New Jersey, PC
- Audiology Services Company USA, LLC
- Christienne Aure
- Aurora Healthcare & Diagnostics PLLC
- Aurora RN Comprehensive Services PLLC
- Avicenna Plastic Surgery, LLC
- Axelrod Performing Arts Center
- Christa L Ayers
- Ayoub Pediatrics PA
- Samia B Ayoub
All providers in Holmdel, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.