Justin William Shaw, NP-P, PMHNP-BC - Nurse Practitioner in Long Island City, NY

Justin William Shaw, NP-P, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Long Island City, New York. Justin William Shaw is licensed to practice in New York (license number 403664) and his current practice location is 3425 Vernon Blvd, Long Island City, New York. He can be reached at his office (for appointments etc.) via phone at (917) 575-5662.

NPI number for Justin William Shaw is 1932611357 and his current mailing address is 263 Franklin Ave Apt 1b, Brooklyn, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932611357.

Contact Information

Justin William Shaw, NP-P, PMHNP-BC
3425 Vernon Blvd,
Long Island City, NY 11106-5121
(917) 575-5662
Not Available

Map and Direction




Provider's Profile

Full NameJustin William Shaw
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3425 Vernon Blvd, Long Island City, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932611357
  • Provider Enumeration Date: 10/25/2017
  • Last Update Date: 12/28/2021

Medical Identifiers

Medical identifiers for Justin William Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932611357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 403664 (New York)Primary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 711620 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin William Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin William Shaw, NP-P, PMHNP-BC
263 Franklin Ave Apt 1b,
Brooklyn, NY 11205-3554

Ph: (917) 575-5662
Justin William Shaw, NP-P, PMHNP-BC
3425 Vernon Blvd,
Long Island City, NY 11106-5121

Ph: (917) 575-5662

Reviews and Comments


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