SHAHLA CHAUDHRY (NPI# 1205088713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205088713 |
| Entity Type | Individual |
| Full Name | SHAHLA CHAUDHRY |
| Credential | PA-C |
| Practice Address |
396 Broadway Kingston NY 12401-4626 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 8453342890 |
| Mailing Telephone | 8566864300 |
| Mailing Fax Number | 8568481431 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008104 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
396 BROADWAY |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026653 | Harold E Gardner | Nurse Anesthetist, Certified Registered | 396 Broadway, Kingston, NY 12401-4626 | 2005-07-08 |
| 1144843111 | Vahe Matnishian | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-05-25 |
| 1093334351 | Brett Saltrick | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-04-15 |
| 1043877186 | Gaithe St Cyr | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2019-05-23 |
| 1972099646 | Michael Aaron Kurek | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-07-06 |
| 1366932907 | Marissa L Mertens | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-05-17 |
| 1053816215 | Gregory Joseph Nero | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2018-03-28 |
| 1649782129 | Candace Chelsea Chin | Pharmacist | 396 Broadway, Kingston, NY 12401-4626 | 2017-10-24 |
| 1609397512 | Lanny L Cleary | Nurse Practitioner | 396 Broadway, Kingston, NY 12401-4626 | 2017-06-30 |
| 1891239737 | Ashley Arzadon | Podiatrist | 396 Broadway, Kingston, NY 12401-4626 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254456 | Kari Marie Fula | Physician Assistant | 28 Putters Pl, Kingston, MA 02364-4114 | 2020-08-04 |
| 1306316849 | Kelsea Michelle Struski | Physician Assistant | 10 Rosewood Dr, Kingston, MA 02364-2151 | 2018-11-27 |
| 1073010047 | Emily Kelleigh | Physician Assistant | 11560 Ne Skyward Loop, Kingston, WA 98346-7606 | 2018-04-06 |
| 1992810220 | Karl Kruszynski | Physician Assistant | 40 Hurley Ave Ste 10, Kingston, NY 12401-3738 | 2006-08-19 |
| 1417998246 | Kristina Carr | Physician Assistant | 40 Hurley Ave Ste 3, Kingston, NY 12401 | 2006-06-10 |
| 1437124377 | Erin Burns | Physician Assistant | 2 Poplar St, Kingston, PA 18704-3709 | 2006-02-22 |
| 1457341315 | Michelle Cahill | Physician Assistant | 5 Tarkiln Rd, Kingston, MA 02364-1250 | 2005-10-24 |
| 1982220760 | Tyler Edmund Ryman | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2020-06-17 |
| 1588140107 | Kathryn E Swanzey | Physician Assistant | 117 Marys Ave Ste 101, Kingston, NY 12401-5849 | 2018-07-17 |
| 1972099646 | Michael Aaron Kurek | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-07-06 |
| Find all providers in KINGSTON | ||||
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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.