Active NPI
Shaban Elamaway
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1154623866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019816
- Practice address
- 14434 Hillside Ave
Jamaica, NY 11435-3324 - Phone
- (347) 869-3817
- NPI assigned
- Dec 1, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019816 | NY | Primary |
Addresses
Primary practice location
14434 Hillside Ave
Jamaica, NY 11435-3324
Mailing address
14434 Hillside Ave
Jamaica, NY 11435-3324
Phone (347) 869-3817
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 |
|---|---|---|---|
| 019816 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five S & a Rehab P.T. P.C. | Physical Therapist | 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.
-
- Physical Therapist
- Jamaica, NY
- NPI 1508168212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1154623866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14434 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353324",
"telephone_number": "347-869-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14434 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353324",
"telephone_number": "347-869-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAMAWAY",
"first_name": "SHABAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.