Individual provider Active NPI

Shoshana Miriam Klein, MS E.D

  • Specialist
  • Spring Valley, NY
National Provider Identifier
1134483027
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
116048021 Issued in NY
Practice address
119 Rock Hill Rd
Spring Valley, NY 10977-5357
Phone
(845) 426-3135
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 116048021 NY Primary

Addresses

Primary practice location

119 Rock Hill Rd
Spring Valley, NY 10977-5357

Mailing address

119 Rock Hill Rd
Spring Valley, NY 10977-5357
Phone (845) 426-3135

Other identifiers 1

IdentifierTypeStateIssuer
116048021OtherNYNEW YORK STATE DEPARTMENT OF EDUCATION

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
116048021NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1134483027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ROCK HILL RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775357",
            "telephone_number": "845-426-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ROCK HILL RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775357",
            "telephone_number": "845-426-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "SHOSHANA",
        "middle_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "MS E.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "116048021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF EDUCATION",
            "identifier": "116048021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.