Active NPI
Sharon Merline Bryan
- Home Health Agency
- Elmont, NY
National Provider Identifier
1235418344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 110228000063
- Practice address
- 88 Clement Ave
Elmont, NY 11003-2704 - Phone
- (188) 850-1105
- NPI assigned
- Aug 7, 2011
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 110228000063 | NY | Primary |
Addresses
Primary practice location
88 Clement Ave
Elmont, NY 11003-2704
Mailing address
PO Box 115
Franklin SQ, NY 11010-0115
Phone (188) 850-1105
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 |
|---|---|---|---|
| 110228000063 | NY | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312675200000",
"number": "1235418344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "FRANKLIN SQ",
"state": "NY",
"postal_code": "110100115",
"telephone_number": "188-850-1105",
"fax_number": "516-355-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 CLEMENT AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032704",
"telephone_number": "188-850-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "SHARON",
"middle_name": "MERLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2011-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "110228000063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.