Tabula Rosa

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1361084 Issued in NY

Legal business name

TABULA ROSA

Practice address

27 Rome Ave
Staten Island, NY 10304-4317

Phone

(347) 782-1329

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Krystyna Shymko, MS.SP.ED

Title

President

Phone

(347) 782-1329

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1023486842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044317",
            "telephone_number": "347-782-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044317",
            "telephone_number": "347-782-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "SHYMKO",
        "authorized_official_first_name": "KRYSTYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-782-1329",
        "authorized_official_credential": "MS.SP.ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "1361084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Tabansi
• Arabella Tabaquero
• Ester Tabay
• Kerissa Lee Tabona, CASAC-T
• Bianca Leigh Tabone
• Lauren Tacconi, LMSW
• Donna Taddeo, BS
• Taramarie Taddeo, MS CCC-SLP, TSHH
• Kimberly Michelle Tadeo Martinez, LPN
• Madonna Tadros, PHARMD

• Developmentally Disabled Services Day Training Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.