Kristen Emma Shondelmyer, MASTERS DEGREE

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

538 Broadhollow Rd
Suite 202
Melville, NY 11747

Phone

(631) 385-7780

Fax

(631) 385-7795

NPI assigned

Jan 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1164967089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203840",
            "telephone_number": "516-647-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADHOLLOW RD",
            "address_2": "SUITE 202",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONDELMYER",
        "first_name": "KRISTEN",
        "middle_name": "EMMA",
        "name_prefix": "Mrs.",
        "credential": "MASTERS DEGREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell B. Shaw, D.D.S.
• Marissa Sherov, LCSW
• Suprina S. Sheth, R.PH
• Ashny Shiby
• Bre'Anna Shirley
• Fatina Shtivelman, D.D.S
• Emily Sidoti, PMHNP-BC
• Scott A Siegel, D.D.S., M.D.
• Asthrid M Silvera
• Lisa Silverman

• Specialist in Melville, NY
• Providers in Melville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.