Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shan Nagendra, M.d.p.c.

Organization Specialist · NPI 1174705776

Shan Nagendra, M.d.p.c. is a Specialist in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

654 Avenue C
Bayonne, NJ 07002-3899
Phone: (201) 823-3390
Fax: (201) 823-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA30013 (NJ)

Record details

NPI number1174705776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shan Nagendra — Owner · (201) 823-3390
NPI enumeratedDecember 5, 2007
Last updated in NPPESDecember 5, 2007
Mailing address654 Avenue C, Bayonne, NJ 07002-3899

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