Shirielle Tziporah Avakian, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ010549000 Issued in NJ

Practice address

723 N Beers St
Holmdel, NJ 07733-1517

Phone

(908) 601-0359

NPI assigned

Oct 27, 2020

Last updated

Nov 15, 2023By the provider in NPPES

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 NJ

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Magdy Nasra MD PC

  • Specialist
  • Holmdel, NJ
  • NPI 1841336989
  Medicare reassignment NPD
• Ennoble HC NJ II PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1871475806
  Medicare reassignment NPD
• Ennoble HC NJ III PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1043192099
  Medicare reassignment NPD
• Ennoble HC NJ PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1306500764
  Medicare reassignment NPD
• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033
  Medicare reassignment NPD
• Ocean County Family Care, P.a.

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1821019787
  Medicare reassignment NPD
• Somc Medical Group PC

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1699004606
  NPD
• New Jersey Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Red Bank, NJ
  • NPI 1578092391
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1861092009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WAKEFIELD RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "908-601-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "SHIRIELLE",
        "middle_name": "TZIPORAH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ010549000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Island of New Jersey, PC
• Audiology Services Company USA, LLC
• Christienne Aure, OD
• Aurora Healthcare & Diagnostics PLLC
• Aurora RN Comprehensive Services PLLC
• Avicenna Plastic Surgery, LLC
• Axelrod Performing Arts Center
• Christa L Ayers, P.T.
• Ayoub Pediatrics PA
• Samia B Ayoub

• Family Nurse Practitioner in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.