Active NPI
Andrei Shafar
- Registered Nurse
- Woodhaven, NY
National Provider Identifier
1922695345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 643142
- Practice address
- 8527 Dexter CT
Woodhaven, NY 11421-1025 - Phone
- (347) 217-4460
- NPI assigned
- Dec 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 643142 | NY | Primary |
Addresses
Primary practice location
8527 Dexter CT
Woodhaven, NY 11421-1025
Mailing address
8527 Dexter CT
Woodhaven, NY 11421-1025
Phone (347) 217-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643142 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1922695345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8527 DEXTER CT",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211025",
"telephone_number": "347-217-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8527 DEXTER CT",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211025",
"telephone_number": "347-217-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFAR",
"first_name": "ANDREI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "643142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.