Active NPI
Shena Amanda Joseph, FNP-BC, RN
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F347017
- Practice address
- 489 5TH Ave FL 3
New York, NY 10017-6145 - Phone
- (888) 663-6331
- NPI assigned
- Dec 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F347017 | NY | Primary |
Addresses
Primary practice location
489 5TH Ave FL 3
New York, NY 10017-6145
Mailing address
1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401
Other practice location 1
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F347017 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Urgent Care of Wantagh PLLC | Current | Accepting new patients | |
| Ashraf Medical Group PLLC | Current | Accepting new patients |
Locations
1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500
3144 E Main St
Ste 2C
Mohegan Lake, NY 10547
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
7001 Amboy Rd
Staten Island, NY 10307
Phone (347) 838-6991
3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600
900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500
Interoperability endpoints
- sjoseph@pulse-mdurgentcare.medentdirect.com
- shena.joseph.1@24989.direct.athenahealth.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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Wappingers Falls, NY
- NPI 1821387382
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1982290177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 WILLIAMSBRIDGE RD FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104612507",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176145",
"telephone_number": "888-663-6331"
}
],
"practiceLocations": [
{
"address_1": "2015 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104534303",
"country_code": "US",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "SHENA",
"middle_name": "AMANDA",
"credential": "FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-12",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F347017",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"address_1": "1400 Pelham Pkwy S",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104611197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.