DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1255309761

NPI Code Detail

MEDICARE: DR. NADEZHDA SHAGUMOVA M.D.

MEDICARE: DR. NADEZHDA SHAGUMOVA M.D.

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	207RR0500X	Rheumatology Physician	207429	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1839765	OTHER	NY	FIRST HEALTH
2	207429	OTHER	NY	HEALTH FIRST
3	7683488004	OTHER	NY	CIGNA (INTERNAL MED)
4	7880054	OTHER	NY	AETNA PPO
5	00001956778004	OTHER	NY	UNITEDHEATHCARE
6	7683488002	OTHER	NY	CIGNA (RHEUMATOLOGY)
7	318180301	OTHER	NY	HEALTH PLUS (INTERNAL MED
8	56N491	OTHER	NY	BC/BS
9	1000015266	OTHER	NY	AFFINITY
10	2355619	OTHER	NY	AETNA HMO (INTERNAL MED)
11	P2040069	OTHER	NY	OXFORD
12	318150501	OTHER	NY	HEALTH PLUS (RHEUMATOLOGY
13	2359536	OTHER	NY	AETNA HMO (RHEUMATOLOGY)
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	1700138	OTHER	NY	GHI
16	207429	OTHER	NY	HORIZON HEALTH CARE
17	207429	OTHER	NY	HIP

General Provider Information

NPI Number	:	1255309761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADEZHDA SHAGUMOVA M.D.

Provider Business Mailing Address
First Line	:	2829 OCEAN PARKWAY
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-616-0050
Fax Number	:	718-616-0065

Provider Business Practice Location Address
First Line	:	2829 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7858
Country	:	US
Telephone Number	:	718-616-0050
Fax Number	:	718-616-0065

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/29/2021

Similar Medicare Providers

1649275918 — DR. KLAUDIYA RUVINSKY M.D.
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-616-0500
Practice Fax: 718-616-0590

1538147780 — FRADLIS GENERAL MEDICINE PC
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-891-6500
Practice Fax: 718-891-5198

1083692230 — FRADLIS MEDICAL CARE PC
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-891-6500
Practice Fax:

1730139932 — M.A.G.A. MEDICAL CARE P.C.
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-743-7090
Practice Fax:

1669423885 — GOTTO MEDICAL CARE P.C.
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-743-7090
Practice Fax:

1427005883 — LOCUM PHYSICIAN P.C.
Practice Location Address:

2829 OCEAN PKWY
BROOKLYN, NY
11235-7858

Practice Phone: 718-743-0900
Practice Fax:

Directions to “ DR. NADEZHDA SHAGUMOVA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.