Shruti Darshini Dyal, MS. ED; SPED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

592307 Issued in NY

Practice address

1428 Mott Ave
Far Rockaway, NY 11691-5108

Phone

(917) 544-0744

Fax

(718) 327-3539

NPI assigned

May 15, 2018

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1346730470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915108",
            "telephone_number": "917-544-0744",
            "fax_number": "718-327-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915108",
            "telephone_number": "917-544-0744",
            "fax_number": "718-327-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAL",
        "first_name": "SHRUTI",
        "middle_name": "DARSHINI",
        "name_prefix": "Ms.",
        "credential": "MS. ED; SPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "592307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Michelle Dubovoy, LCSW
• Anne-Kenya Dubuisson, MSED, MHC
• Edrist Duneant, M.D.
• Daniella Danika Dwarica-Baptiste
• Asher J. Dworetsky, LMSW
• East Elmhurst Primary Medical Care, PLLC
• Lori Ebert, MA CCC SLP
• Michael Edelstein
• Rebecca Edelstein, M.S.
• Alison Alexis Edinboro

• Early Intervention Provider Agency in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.