Provider Demographics
NPI:1700131109
Name:KARAKILIC, SHOKO (RN, ANP)
Entity type:Individual
Prefix:MS
First Name:SHOKO
Middle Name:
Last Name:KARAKILIC
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 WEST ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3211
Mailing Address - Country:US
Mailing Address - Phone:646-510-2524
Mailing Address - Fax:
Practice Address - Street 1:54 W 21ST ST RM 510
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7354
Practice Address - Country:US
Practice Address - Phone:646-510-2524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-21
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306148363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health