1. Home
  2. Directory
  3. New York
  4. Long Island City
  5. Nurse Practitioner
  6. NPI Profile

JUSTIN WILLIAM SHAW NP-P, PMHNP-BC
NPI 1932611357
Nurse Practitioner - Psychiatric/Mental Health in Long Island City, NY

Active since October 25, 2017
3425 VERNON BLVD, LONG ISLAND CITY, NY 11106(917) 575-5662 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 28, 2021, Oct 25, 2017 (2 updates tracked since 2017).

About Justin William Shaw Np-p, Pmhnp-bc NPPES

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

JUSTIN WILLIAM SHAW NP-P, PMHNP-BC (NPI 1932611357) is an individual psychiatric/mental health provider in Long Island City, New York, licensed in New York (403664) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1932611357
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTIN WILLIAM SHAWCredential: NP-P, PMHNP-BC
Location Address3425 VERNON BLVDLong Island City, NY 11106-5121
Mailing Address263 Franklin Ave Apt 1bBrooklyn, NY 11205-3554 · (917) 575-5662
Phone(917) 575-5662
Sole ProprietorNo
Enumeration DateOctober 25, 2017
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1932611357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403664
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 711620 (NY)
3425 VERNON BLVD, Long Island City, NY 11106
Open in Google Maps ↗

Other Providers at the Same Location NPPES 17

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

DAVE OFORI RN
Nurse Practitioner (Psychiatric/Mental Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (718) 726-8484
NICKESIA MONIQUE FERRO
Licensed Practical Nurse
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (718) 726-8484
JOI BROWN
Social Worker
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (212) 831-1555
SUNNY LEE LMHC
Counselor (Mental Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (718) 726-8484
RACHEL TOWNSEND LMHC
Counselor (Mental Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (718) 726-8484
EDITH OLUCHI OGBENNA FNP
Nurse Practitioner (Family)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (718) 726-8484
TAE AN CHOI N.P.
Nurse Practitioner (Adult Health)
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (631) 979-0922
MR. STEVEN BRYANT HOLLIS CASAC
Counselor (Addiction (Substance Use Disorder))
3425 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (212) 831-1555

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 Justin Shaw's NPI number?

The NPI number for Justin Shaw is 1932611357. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Justin Shaw located?

Justin Shaw practices at 3425 Vernon Blvd, Long Island City, NY 11106. The listed phone number is (917) 575-5662.

What is Justin Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Justin Shaw was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.