Active NPI
Ismet Shala
- Dental Hygienist
- Monsey, NY
National Provider Identifier
1083991830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 026743-1
- Practice address
- 40 Robert Pitt Dr
Monsey, NY 10952-3333 - Phone
- (845) 352-6800
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 026743-1 | NY | Primary |
Addresses
Primary practice location
40 Robert Pitt Dr
Monsey, NY 10952-3333
Mailing address
121 S Highland Ave
3L
Ossining, NY 10562-5862
Phone (914) 488-5708
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026743-1 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1083991830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S HIGHLAND AVE",
"address_2": "3L",
"city": "OSSINING",
"state": "NY",
"postal_code": "105625862",
"telephone_number": "914-488-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523333",
"telephone_number": "845-352-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALA",
"first_name": "ISMET",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "026743-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.