Individual provider Active NPI

Shantell E Jay

  • Prosthetics Case Management
  • Laurelton, NY
National Provider Identifier
1225994478
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
21907 143Rd Rd
Laurelton, NY 11413-3114
Phone
(929) 385-5989
Fax
(205) 751-9233
NPI assigned
Dec 31, 2025
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X NU Primary

Addresses

Primary practice location

21907 143Rd Rd
Laurelton, NY 11413-3114

Mailing address

21907 143Rd Rd
Laurelton, NY 11413-3114
Phone (929) 385-5989

Other practice location 1

18802A Liberty Ave
Saint Albans, NY 11412-1049
Phone (929) 385-5989

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

OrganizationSpecialtyStatusNew patients
Shop Beauty LLC Current Accepting new patients
Shop Beauty Bar LLC Prosthetics Case Management CurrentSince Jan 4, 2026 Accepting new patients

Locations

18802A Liberty Ave
Saint Albans, NY 11412
Phone (929) 385-5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1225994478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21907 143RD RD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133114",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21907 143RD RD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133114",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18802A Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114121049",
            "country_code": "US",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "SHANTELL",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.