Healthcare Provider Details

I. General information

NPI: 1437096419
Provider Name (Legal Business Name): SHAKESPEARE OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 E 149TH ST STE C
BRONX NY
10455-4670
US

IV. Provider business mailing address

2614 HALPERIN AVE
BRONX NY
10461-2631
US

V. Phone/Fax

Practice location:
  • Phone: 844-262-5700
  • Fax:
Mailing address:
  • Phone: 844-262-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: NIDHI SAHGAL
Title or Position: OWNER
Credential:
Phone: 914-965-2026