Shanda Renee Owens

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

3524 83Rd St
Jackson Heights, NY 11372-5229

Phone

(718) 639-0700

Fax

(718) 639-7684

NPI assigned

Mar 9, 2017

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

Practice roles

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.

• Catholic Charities Brooklyn and Queens

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jackson Heights, NY
  • NPI 1528477825
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1245771310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GOSHEN ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110035025",
            "telephone_number": "718-639-0700",
            "fax_number": "718-639-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 83RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725229",
            "telephone_number": "718-639-0700",
            "fax_number": "718-639-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SHANDA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Osorio, MSW
• Edward Ostad, MD
• Michael Ostad, MD
• Edwin Ostiago, D.D.S
• Dinorah Otero, L.C.S.W.
• P.R. Medical PC
• Jorge Luis Padilla
• Migdalia Maria Padilla, P.T.
• Stephanie Paguay
• Pak Podiatry

• Case Management Agency in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.