- Practice location
- 654 Avenue C, Bayonne, NJ 07002-3899
- Phone
- 201-823-3390
- Fax
- 201-823-4420
- Last updated
- December 5, 2007
Shan Nagendra,m.d.p.c. is a healthcare organization based in Bayonne, NJ. Shan Nagendra,m.d.p.c. practices in Bayonne, NJ. The NPI Number for Shan Nagendra,m.d.p.c. is 1174705776 and holds a License No. MA30013 (NJ). The current practice location address for Shan Nagendra,m.d.p.c. is 654 Avenue C, Bayonne, NJ 07002-3899 and can be reached out via phone at 201-823-3390 and via fax at 201-823-4420.
Provider Profile Details
- NPI Number
- 1174705776
- Provider Name
- Shan Nagendra,m.d.p.c.
- Provider Entity Type
- Organization
- Address
- 654 Avenue C, Bayonne, NJ 07002-3899
- Phone Number
- 201-823-3390
- Fax Number
- 201-823-4420
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Shan Nagendra, MD · Owner · 201-823-3390
- Provider Enumeration Date
- December 5, 2007
- Last Update Date
- December 5, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 654 Avenue C
Bayonne, NJ 07002-3899 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3899
- Phone Number
- 201-823-3390
- Fax Number
- 201-823-4420
Provider Business Mailing Address Details
- Address
- 654 Avenue C
Bayonne, NJ 07002-3899 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3899
- Phone Number
- 201-823-3390
- Fax Number
- 201-823-4420
License Information
- License Number
- MA30013
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shan Nagendra,m.d.p.c.?
The NPI number of Shan Nagendra,m.d.p.c. is 1174705776. It was assigned on December 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Shan Nagendra,m.d.p.c.?
Shan Nagendra,m.d.p.c. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA30013.
Where does Shan Nagendra,m.d.p.c. practice?
The practice location is 654 Avenue C, Bayonne, NJ 07002-3899. The office can be reached at 201-823-3390 (phone) or 201-823-4420 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174705776 directly on the NPPES registry website.