| Ms Shyan Indera Jagdeo, NP | |
|
645 W Broadway, Long Beach, NY 11561-2956 | |
| (516) 889-1100 | |
| (516) 889-1531 |
| Full Name | Ms Shyan Indera Jagdeo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 645 W Broadway, Long Beach, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205459534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 309775 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Girling Health Care Of New York | Brooklyn, NY | Home health agency |
| Centers Home Health Revival (bronx) | Bronx, NY | Home health agency |
| Americare Certified Special Services, Inc Chha | Brooklyn, NY | Home health agency |
| Revival Home Health Care | Brooklyn, NY | Home health agency |
| Extended Home Care | New york, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| My Medical Pc | 0143610600 | 24 |
| Medical Services Of Northeastern Queens Pllc | 4587013446 | 11 |
| Peyman Younesi Md Pllc | 4981860202 | 128 |
| Entity Name | Peyman Younesi Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
| Entity Name | Park Avenue Pediatrics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699969543 PECOS PAC ID: 6507010592 Enrollment ID: O20130128000388 |
| Entity Name | Visiting Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083241392 PECOS PAC ID: 2961824842 Enrollment ID: O20200623001067 |
| Entity Name | My Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518637891 PECOS PAC ID: 0143610600 Enrollment ID: O20211124001353 |
| Entity Name | Fresh Meadows Physician Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720775083 PECOS PAC ID: 0941657811 Enrollment ID: O20231114003265 |
| Entity Name | Medical Services Of Northeastern Queens Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184311441 PECOS PAC ID: 4587013446 Enrollment ID: O20231218002332 |
| Entity Name | Shyan Jagdeo Np |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508694076 PECOS PAC ID: 4284173238 Enrollment ID: O20240822001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shyan Indera Jagdeo, NP 3224 Anchor Dr, Far Rockaway, NY 11691-1602 Ph: (718) 450-6604 | Ms Shyan Indera Jagdeo, NP 645 W Broadway, Long Beach, NY 11561-2956 Ph: (516) 889-1100 |
Thomas Cullen Griffith, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2-12 W Park Ave, Long Beach, NY 11561 Phone: 516-889-2332 Fax: 516-889-2399 | |
Prince N Singh, FNP-C, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 257 W Park Ave, Long Beach, NY 11561 Phone: 516-493-9975 Fax: 516-493-9976 | |
Terezia Marie Tarantino, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542 E Market St, Long Beach, NY 11561 Phone: 516-286-9226 | |
Mrs. Diane C. Defilippo, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 E Park Ave, Long Beach, Ny, Long Beach, NY 11561 Phone: 516-321-0966 Fax: 516-208-8430 | |
Ms. Linda Ruth Goldstein, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 West Park Ave, Long Beach, NY 11561 Phone: 516-889-9100 Fax: 516-889-9108 | |
Olivia Ferrante, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 W Walnut St, Long Beach, NY 11561 Phone: 516-384-6181 |