Active NPI
Jamie Shoshany, P.A.
- Physician Assistant
- Staten Island, NY
National Provider Identifier
1982818712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00115500
- Practice address
- 4143 Richmond Ave
Staten Island, NY 10312-5637 - Phone
- (718) 967-0100
- Fax
- (718) 967-0920
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00115500 | NJ | Primary |
Addresses
Primary practice location
4143 Richmond Ave
Staten Island, NY 10312-5637
Mailing address
391 Ashland Ave
Staten Island, NY 10309-6073
Phone (718) 909-9359
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00115500 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1982818712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 ASHLAND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103096073",
"telephone_number": "718-909-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125637",
"telephone_number": "718-967-0100",
"fax_number": "718-967-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOSHANY",
"first_name": "JAMIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00115500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.