SHINY JACOB (NPI# 1235586892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235586892 |
| Entity Type | Individual |
| Full Name | SHINY JACOB |
| Credential | ANP |
| Practice Address |
1 Healthy Way Cardiology Oceanside NY 11572-1551 |
| Mailing Address |
634 Brooklyn Ave New Hyde Park NY 11040-3043 |
| Practice Telephone | 5166324260 |
| Practice Fax Number | 5167663857 |
| Mailing Telephone | 5167849477 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307619-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 HEALTHY WAY CARDIOLOGY |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824606 | Edward E Mullen | Specialist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-08 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1053921742 | Mount Sinai School of Medicine | Psychiatry & Neurology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-08-06 |
| 1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
| 1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
| 1023639937 | Florence Dasrath | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-01 |
| 1730709312 | Jordana Schmidt-swartz | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-23 |
| 1336769207 | Nia Jagroop | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-21 |
| 1366062523 | Gladys Isabel Palaguachi | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-17 |
| 1578182846 | Amit Elazar | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184084295 | Np On The Go | Nurse Practitioner | 3444 Knight St, Oceanside, NY 11572-4639 | 2016-03-02 |
| 1003152323 | Annie Leela Durairaj Daniel | Nurse Practitioner | 3094 Perry Ave, Oceanside, NY 11572-4235 | 2012-12-13 |
| 1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
| 1366077141 | Caitlin Anne Sessa | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-03-11 |
| 1407406200 | Katherine Oleg Khatsenko | Nurse Practitioner | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-13 |
| 1073169785 | Erik Craig Lyons | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2019-08-18 |
| 1851871693 | Sam Bradley Trestman | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-08-21 |
| 1154866689 | Rosemarie Keating | Nurse Practitioner | One Healthy Way, South Nassau Communities Hospital, Oceanside, NY 11572 | 2016-12-19 |
| 1144690488 | Lidia Valjan | Nurse Practitioner | 187 Dot Ct E, Oceanside, NY 11572-5920 | 2015-09-29 |
| 1902243546 | Flor Wright | Nurse Practitioner | 2171 S El Camino Real, Suite 104, Oceanside, CA 92054-6229 | 2013-05-22 |
| Find all providers in OCEANSIDE | ||||
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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.