Shantelle Pimentel

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

2765 Matthews Ave Apt 2a
Bronx, NY 10467-8622

Phone

(917) 420-2304

NPI assigned

Sep 29, 2022

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1053035352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 MATTHEWS AVE APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678622",
            "telephone_number": "917-420-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 MATTHEWS AVE APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678622",
            "telephone_number": "917-420-2304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15050 14th Rd",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113572609",
            "country_code": "US",
            "telephone_number": "718-767-0091 x0071",
            "fax_number": "718-767-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "SHANTELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias Altagracia Pimentel, D.M.D.
• Jaleesa Lynne Pimentel
• Jennifer Pimentel
• Jonathan Matthew Pimentel, OTR/L
• Joshua Pimentel
• Susana Pimentel, R.N.
• Mason Blake Pimsler, MD
• Christina Kunthia Pin, MPH
• Catarina Maria Pina Martin Martins Maia, MD
• Luis Alberto Pina Martina, MD

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.