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Shan Nagendra,M.D.P.C.

Specialist in Bayonne, NJ · enumerated 2007 · authorized official Shan Nagendra, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174705776

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Registry record

Entity type Organization (Type 2)
Legal business name Shan Nagendra,M.D.P.C.
Practice address 654 Avenue C, Bayonne, NJ, 07002
Fax (201) 823-4420
Enumeration date Dec 5, 2007
Last updated in NPPES Dec 5, 2007

Taxonomy & classification

174400000X Specialist Other Service Providers · License MA30013 (NJ) Primary

Authorized official

Name Shan Nagendra
Title Owner

Other identifiers

Identifier Type State Issuer
3195503 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Shan Nagendra,M.D.P.C. located?
The practice location on file with NPPES is in Bayonne, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-05.