Active NPI
Shoshana Engel
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1073264412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1950 Rutgers University Blvd
Lakewood, NJ 08701-4537 - Phone
- (732) 554-2121
- NPI assigned
- Jan 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1950 Rutgers University Blvd
Lakewood, NJ 08701-4537
Mailing address
40 Steven LN
Lakewood, NJ 08701-1545
Phone (410) 718-3318
Other practice location 1
6595 Roswell Rd Ste G-3162
Atlanta, GA 30328-3152
Phone (845) 826-3721
Other practice location 2
8063 Madison Ave Ste 544
Indianapolis, IN 46227-6001
Phone (845) 826-3721
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunstars ABA Ga LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1114658648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1073264412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 STEVEN LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011545",
"telephone_number": "410-718-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 RUTGERS UNIVERSITY BLVD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014537",
"telephone_number": "732-554-2121"
}
],
"practiceLocations": [
{
"address_1": "6595 Roswell Rd Ste G-3162",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303283152",
"country_code": "US",
"telephone_number": "845-826-3721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8063 Madison Ave Ste 544",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462276001",
"country_code": "US",
"telephone_number": "845-826-3721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGEL",
"first_name": "SHOSHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-07-15",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.