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

Shoba Sanu

Individual provider Certified Registered Nurse Anesthetist · NPI 1659469112

Shoba Sanu is a Certified Registered Nurse Anesthetist (CRNA) in Mineola, New York. Qualified in 2004, 22 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-2216
Show map & directions

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

Additional practice locations (1)

  • 1 Healthy Way, Oceanside, NY 11572-1551 — (877) 768-8462

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6920 (NY)

Record details

NPI number1659469112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2907

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola