NPIMap

Organization Active NPI

E. Sholom Inc.

  • Health Maintenance Organization
  • Richmond Hill, NY
National Provider Identifier
1003171455
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
E. SHOLOM INC.
Practice address
13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930
Phone
(718) 441-0155
Fax
(718) 850-4720
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Arlene Flores
Title
Service Coordinator
Phone
(718) 441-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930

Mailing address

13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930
Phone (718) 441-0155

National Provider Directory

National Provider Directory
Tax ID family
E Sholom Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13411 Kew Gardens Rd
Richmond Hill, NY 11418
Phone (718) 441-0155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1003171455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13411 KEW GARDENS RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181930",
            "telephone_number": "718-441-0155",
            "fax_number": "718-850-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 KEW GARDENS RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181930",
            "telephone_number": "718-441-0155",
            "fax_number": "718-850-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. SHOLOM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "718-441-0155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.