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QUINCY SHUDA
NPI 1790470334
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2023PECOS Enrolled
833 CHESTNUT EAST, SUITE 210, PHILADELPHIA, PA 19107(215) 955-5638(215) 503-6116 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Quincy Shuda NPPES

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

QUINCY SHUDA (NPI 1790470334) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790470334
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameQUINCY SHUDA
Location Address833 CHESTNUT EAST, SUITE 210Philadelphia, PA 19107-4405
Mailing Address833 Chestnut East, Suite 210Philadelphia, PA 19107-4405 · (215) 955-5638 · Fax (215) 503-6116
Phone(215) 955-5638
Fax(215) 503-6116
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1790470334 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.
833 CHESTNUT EAST, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quincy Shuda 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 3

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

BLAKE DANIEL ROSENTHAL
Student in an Organized Health Care Education/Training Program
833 CHESTNUT EAST, SUITE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9823
NATASHA REDDY MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT EAST, SUITE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
MS. VAN THANH FADULU M.S.
Genetic Counselor, MS
833 CHESTNUT EAST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2332

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 Quincy Shuda's NPI number?

The NPI number for Quincy Shuda is 1790470334. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Quincy Shuda located?

Quincy Shuda practices at 833 Chestnut East Suite 210, Philadelphia, PA 19107. The listed phone number is (215) 955-5638.

What is Quincy Shuda's specialty?

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

Is Quincy Shuda enrolled in Medicare?

Yes. Quincy Shuda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Quincy Shuda was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.