Active NPI
Joseph Shaulov, EMT
- Basic Emergency Medical Technician
- Flushing, NY
National Provider Identifier
1003636788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 526196
- Practice address
- 14758 76TH Rd
Flushing, NY 11367-3140 - Phone
- (347) 706-9323
- NPI assigned
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 526196 | NY | Primary |
Addresses
Primary practice location
14758 76TH Rd
Flushing, NY 11367-3140
Mailing address
14758 76TH Rd
Flushing, NY 11367-3140
Phone (347) 706-9323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 526196 | NY | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1003636788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14758 76TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673140",
"telephone_number": "347-706-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14758 76TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673140",
"telephone_number": "347-706-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAULOV",
"first_name": "JOSEPH",
"credential": "EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NY",
"license": "526196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.