Active NPI
Salisha Shears
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1134522758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 435 E 92ND St
1F
Brooklyn, NY 11212-1147 - Phone
- (917) 833-5505
- NPI assigned
- Sep 28, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
435 E 92ND St
1F
Brooklyn, NY 11212-1147
Mailing address
435 E 92ND St
1F
Brooklyn, NY 11212-1147
Phone (917) 833-5505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252Y00000X | Other | CITY PRO GROUP, INC. |
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 |
|---|---|---|---|
| Thrive & Grow, LLC | Early Intervention Provider Agency | Current | 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.
-
- Early Intervention Provider Agency
- Albany, NY
- NPI 1669188926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411862400000",
"number": "1134522758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E 92ND ST",
"address_2": "1F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112121147",
"telephone_number": "917-833-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E 92ND ST",
"address_2": "1F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112121147",
"telephone_number": "917-833-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARS",
"first_name": "SALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-28",
"last_updated": "2014-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY PRO GROUP, INC.",
"identifier": "252Y00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.