MEDICARE: SHIVANI NAGPAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2022008005	NY

General Provider Information

NPI Number	:	1205661618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIVANI NAGPAL

Provider Business Mailing Address
First Line	:	38 BUSHWICK AVE
Second Line	:
City	:	BRENTWOOD
State	:	NY
Zip	:	11717-2523
Country	:	US
Telephone Number	:	631-521-3078
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 PARK AVE STE 125
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-3140
Country	:	US
Telephone Number	:	646-358-1223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	12/11/2025

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Directions to “ SHIVANI NAGPAL ” Practice Location

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