Kseniya Shimunova, OTR/L

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

017227-1 Issued in NY

Practice address

10240 62ND Ave Apt 3E
Forest Hills, NY 11375-1031

Phone

(718) 592-7234

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1215299201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 146TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354301",
            "telephone_number": "718-464-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 62ND AVE APT 3E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751031",
            "telephone_number": "718-592-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNOVA",
        "first_name": "KSENIYA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "017227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shushano Shimonov, LPN
• Simkho Shimonov
• Hana Shimonova
• Daniel Shimunov, DDS
• Moshe Shimunov, FNP-BC
• Milana Shimunova, MASTERS
• Tuva Shimunova
• Shine Medical PC
• Emma Shinn
• Michael Shirazi

• Developmentally Disabled Services Day Training Agency in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.