DR. NICHOLAS LEE SHAUGHNESSY MD
NPI 1194570408
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 19, 2024
234 E 149TH ST RM 445A, BRONX, NY 10451(718) 579-6011 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Apr 19, 2024 (2 updates tracked since 2024).

About Dr. Nicholas Lee Shaughnessy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS LEE SHAUGHNESSY MD (NPI 1194570408) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1194570408
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICHOLAS LEE SHAUGHNESSYCredential: MD
Location Address234 E 149TH ST RM 445ABronx, NY 10451-5504
Mailing Address234 E 149th St # 2c2-445aBronx, NY 10451-5504 · (718) 579-6011
Sole ProprietorYes
Enumeration DateApril 19, 2024
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1194570408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

234 E 149TH ST RM 445A, Bronx, NY 10451

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
234 E 149TH ST RM 445A
BRONX, NY 10451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194570408, enumerated as an "individual" on April 19, 2024.

The provider is located at 234 E 149TH ST RM 445A BRONX, NY 10451 and the phone number is (718) 579-6011.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.