SHAUNA ABDOUCHE MD
NPI 1316400484
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Shauna Abdouche's NPI number?

The NPI number for Shauna Abdouche is 1316400484. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Q: What is Shauna Abdouche's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shauna Abdouche was last updated on April 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2019PECOS Enrolled

622 W 168TH ST, NEW YORK, NY 10032(212) 305-3226 Get Directions Write a Review

NPPES record last updated: April 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shauna Abdouche Md NPPES

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

SHAUNA ABDOUCHE MD (NPI 1316400484) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1316400484

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHAUNA ABDOUCHECredential: MD

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address622 W 168th St Ph 5-133New York, NY 10032-3720 · (212) 305-3226

Phone(212) 305-3226

Sole ProprietorNo

Enumeration DateApril 7, 2019

✔ NPI 1316400484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

622 W 168TH ST, New York, NY 10032

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Secondary Practice Location 1

Location 13959 BroadwayNew York, NY 10032-1559 · Phone (212) 305-5437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shauna Abdouche Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine