Shaina Medley, M.S.ED, MSW

Primary specialty

SpecialistTaxonomy code 174400000X

License

2567591 Issued in NY

Practice address

1058 Morris Park Ave
Bronx, NY 10461-1478

Phone

(347) 727-4223

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Believe in Me- Early Intervention Inc.

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1134764376
  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1073278644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611478",
            "telephone_number": "347-727-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Bi County Blvd",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117353988",
            "country_code": "US",
            "telephone_number": "516-828-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "SHAINA",
        "name_prefix": "Ms.",
        "credential": "M.S.ED, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2567591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamia Medina, LPN
• Yeny Medina
• Medinova Physicians PLLC
• Meditreat
• Mediva Medical Supplies LLC
• Sharon Christine Medlock, MS
• Saul S Mednick, DMD
• Norman Bret Medow, M.D.
• Medpro Development
• Ayo Marlou Martinez Medrana

• 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 Jul 10, 2023; 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.