Fnu Shobha, ARDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

250399 Issued in NY

Practice address

380 N Broadway Ste 305
Jericho, NY 11753-2109

Phone

(866) 363-1222

Fax

(718) 586-3766

NPI assigned

Jun 21, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Diagnostics Global Inc.

  • Diagnostic Ultrasound Physician
  • Jericho, NY
  • NPI 1083315865
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1982389342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 246TH CRES APT 1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621908",
            "telephone_number": "201-354-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY STE 305",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532109",
            "telephone_number": "866-363-1222",
            "fax_number": "718-586-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBHA",
        "first_name": "FNU",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "250399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Paul Shei
• Amit Mahesh Shelat, D.O.
• Philip Shen, D.C.
• Cathy L. Sheredos-Funfgeld, P.A.
• Barbara Ellen Sherman, SLP
• Barbara Shor, SLP
• Shore Medical Treatment PLLC
• Rovena Honey Shreck, M.A.
• Ellen A. Siber, LCSW
• Barbara Ann Siegel, DC

• Sonography Radiologic Technologist in Jericho, NY
• Providers in Jericho, NY by specialty
• Sonography Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.