Individual provider Active NPI

Aliza Shamuelova

  • Behavior Analyst
  • Kew Gardens Hills, NY
National Provider Identifier
1356769574
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
14711 76TH Ave
Apt. 2a
Kew Gardens Hills, NY 11367-3154
Phone
(646) 503-8443
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NY Primary

Addresses

Primary practice location

14711 76TH Ave
Apt. 2a
Kew Gardens Hills, NY 11367-3154

Mailing address

14711 76TH Ave
Apt. 2a
Kew Gardens Hills, NY 11367-3154
Phone (646) 503-8443

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

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1356769574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 76TH AVE",
            "address_2": "APT. 2A",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673154",
            "telephone_number": "646-503-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 76TH AVE",
            "address_2": "APT. 2A",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673154",
            "telephone_number": "646-503-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMUELOVA",
        "first_name": "ALIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.