JACK SHAMOUN NPI 1508940354

NPI Information

  • NPI: 1508940354
  • Provider Name: JACK SHAMOUN
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: CRHP-711 TROY-SCHENECTADY ROAD
    SUITE 114
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 786-1600

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NPI Details

Jack Shamoun is a diagnostic radiology radiology in Latham, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jack Shamoun NPI is 1508940354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CRHP-711 TROY-SCHENECTADY ROAD
SUITE 114
LATHAM, NY
ZIP 12110
Phone: (518) 786-1600

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207U00000XNuclear Medicine107225NEW YORKNo
22085R0202XRadiologyDiagnostic Radiology107225NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B80911MEDICARE UPINNEW YORK
200369466MEDICAIDNEW YORK
350941DMEDICARE PINNEW YORK
4DD0352MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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