SHOABA JAIKISSOON (NPI# 1043825201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043825201 |
| Entity Type | Individual |
| Full Name | SHOABA JAIKISSOON |
| Credential | FNP |
| Practice Address |
410 Lakeville Rd New Hyde Park NY 11042-1101 |
| Practice Telephone | 5164654377 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F346003-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
410 LAKEVILLE RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484472 | Lauren Procaccino | Physician Assistant | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2019-12-19 |
| 1881231165 | Angelica Corrigan | Social Worker | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2019-12-05 |
| 1861991259 | Advanced Cardiovascular Diagnostics Pllc | Internal Medicine | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2018-02-12 |
| 1043725823 | Rachel Lowy | Physician Assistant | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2017-12-03 |
| 1659730638 | Kathleen Ann O'connor | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2016-02-18 |
| 1356719082 | Ari Leonard Ginsberg Md Pllc | Specialist | 410 Lakeville Rd, 100, New Hyde Park, NY 11042-1101 | 2015-09-11 |
| 1720462534 | Katherine Hogan | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2015-07-13 |
| 1669854832 | True North Health Pharmacy, Inc. | Pharmacy | 410 Lakeville Rd, Suite 102, New Hyde Park, NY 11042-1101 | 2015-06-24 |
| 1306284930 | Restorative Medicine, P.C. | Physical Medicine & Rehabilitation | 410 Lakeville Rd, Suite 303, New Hyde Park, NY 11042-1101 | 2013-06-05 |
| 1891132601 | Pamela Jean Reichert-anderson | Dietitian, Registered | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912683 | Daisy Chirathalackal Yohannan | Nurse Practitioner | 1991 Marcus Ave Ste M217, New Hyde Park, NY 11042-2040 | 2020-11-02 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1770193484 | Sherlin Abraham | Nurse Practitioner | 21 Park E, New Hyde Park, NY 11040-3501 | 2020-08-06 |
| 1881217420 | Silby Simon Makil | Nurse Practitioner | 6 Park East, New Hyde Park, NY 11040-3502 | 2020-05-18 |
| 1588285142 | Nisha Kurian | Nurse Practitioner | 332 Nassau Blvd, New Hyde Park, NY 11040-5239 | 2020-05-05 |
| 1881230787 | Sindhu Kanneth | Nurse Practitioner | 95 Norman St, New Hyde Park, NY 11040-1307 | 2019-11-26 |
| 1871137125 | Bindhu Pappachen | Nurse Practitioner | 374 Hillside Dr S, New Hyde Park, NY 11040-2720 | 2019-10-30 |
| 1386205177 | Shejie Roshan | Nurse Practitioner | 322 Covert Ave, New Hyde Park, NY 11040-5437 | 2019-06-24 |
| 1427615590 | Tzippora Frohlich | Nurse Practitioner | 3003 New Hyde Park Rd Ste 407, New Hyde Park, NY 11042-1214 | 2019-05-23 |
| 1720578065 | Maryanne Patricia Karahalis | Nurse Practitioner | 118 Patton Blvd, New Hyde Park, NY 11040-1730 | 2018-05-11 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.