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

MS. Shyan Indera Jagdeo, NP

Individual provider Primary Care Nurse Practitioner · NPI 1205459534

MS. Shyan Indera Jagdeo, NP is a Nurse Practitioner in Far Rockaway, New York. Qualified in 2020, 6 years ago. Practices with Suffolk Primary Health LLC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3224 Anchor Dr
Far Rockaway, NY 11691-1602
Phone: (718) 450-6604
Fax: (516) 531-8944
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 309775 (NY)

Record details

NPI number1205459534
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Suffolk Primary Health Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare