NPI Code Detail JSON Logo

1710783816 NPI number — SHIMA SUSAN SUNNY PNP

NPI Number: 1710783816
Health Care Provider/Practitioner: SHIMA SUSAN SUNNY PNP

Information about “1710783816” NPI (SHIMA SUSAN SUNNY PNP) exists in 1710783816 in HTML format HTML  |  1710783816 in plain Text format TXT  |  1710783816 in PDF (Portable Document Format) PDF  |  1710783816 in an XML format XML  formats.

NPI Number : 1710783816 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710783816",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUNNY",
    "FirstName": "SHIMA",
    "MiddleName": "SUSAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "154 WILTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HYDE PARK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11040-3832",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-691-2563",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1111 MARCUS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HYDE PARK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11042-1221",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-601-7200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2025",
    "LastUpdateDate": "02/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "383758",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WP0200X",
          "TaxonomyName": "Pediatric Registered Nurse",
          "LicenseNumber": "710615",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.