MRS. SHUSHANO SHIMONOV LPN
NPI 1790030864
Licensed Practical Nurse in Forest Hills, NY

Q: What is Shushano Shimonov's NPI number?

The NPI number for Shushano Shimonov is 1790030864. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Q: What is Shushano Shimonov's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shushano Shimonov was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 16, 2012

6259 108TH ST APT 3L, FOREST HILLS, NY 11375(718) 275-9718 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Shushano Shimonov Lpn NPPES

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

MRS. SHUSHANO SHIMONOV LPN (NPI 1790030864) is an individual licensed practical nurse in Forest Hills, New York, licensed in New York (269184) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1790030864

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. SHUSHANO SHIMONOVCredential: LPN

Location Address6259 108TH ST APT 3LForest Hills, NY 11375-1307

Mailing Address6259 108th St Apt 3lForest Hills, NY 11375-1307 · (718) 275-9718

Phone(718) 275-9718

Sole ProprietorYes

Enumeration DateJuly 16, 2012

✔ NPI 1790030864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 269184

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6259 108TH ST APT 3L, Forest Hills, NY 11375

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shushano Shimonov's NPI number?

The NPI number for Shushano Shimonov is 1790030864. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Shushano Shimonov located?

Shushano Shimonov practices at 6259 108th St Apt 3L, Forest Hills, NY 11375. The listed phone number is (718) 275-9718.

What is Shushano Shimonov's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shushano Shimonov was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.