| Shashala Mcgregor, | |
| 25710 147th Ave, Rosedale, NY 11422-3317 | |
| (718) 723-0794 | |
| Not Available | 
| Full Name | Shashala Mcgregor | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 25710 147th Ave, Rosedale, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619114535 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 431552 (New York) | Primary | 
| Entity Name | Prospect Park Operating, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841365509 PECOS PAC ID: 7113927765 Enrollment ID: O20211221001121 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shashala Mcgregor, 25710 147th Ave, Rosedale, NY 11422-3317 Ph: (718) 723-0794 | Shashala Mcgregor, 25710 147th Ave, Rosedale, NY 11422-3317 Ph: (718) 723-0794 | 
| Krystal Richards,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14833 Weller Ln, Rosedale, NY 11422 Phone: 917-349-1358 | |
| Ms. Shakira Hurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13410 245th St, Rosedale, NY 11422 Phone: 917-302-0156 | |
| Ms. Tracey Maria Rose, MSN, FNP, RN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25961 148th Ave, Rosedale, NY 11422 Phone: 718-978-5752 | |
| Cheyenne Lorquet, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13830 Francis Lewis Blvd, Rosedale, NY 11422 Phone: 516-425-8519 | |
| Nordia Edwards, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25925 149th Ave Fl 1, Rosedale, NY 11422 Phone: 347-673-4090 | |
| Kettely Francois,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149-86 253 Rd Street, Rosedale, NY 11422 Phone: 917-604-6921 | |
| Ms. Tunesia Shavon Jeter, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14850 Brookville Blvd, Rosedale, NY 11422 Phone: 646-246-3432 |