Kidspark SH Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KIDSPARK SH INC

Practice address

44 Blythe PL
Staten Island, NY 10306-1107

Phone

(646) 327-6440

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Shakhnoza NazarovaNPI 1295499010

Title

Owner

Phone

(646) 327-6440

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakhnoza Nazarova

  • Specialist
  • Brooklyn, NY
  • NPI 1295499010
  NPD Authorized official

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1366338139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BLYTHE PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BLYTHE PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061107",
            "telephone_number": "646-327-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPARK SH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "NAZAROVA",
        "authorized_official_first_name": "SHAKHNOZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-327-6440"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Kidanov, MS,RD,CDN,CDCES
• Kidney and Hypertension Medicine, P.C.
• Kids Connect USA Inc
• Kids Dental of Staten Island, PC
• Kids Dental, P.C.
• Kaitlyn Marie Kiefer, CCC-SLP
• Elisheva Kierman, MS CCC SLP TSHH
• Kirsten Ashley Kiernan, L.P.N.
• Vinay N Kikkeri, M.D.
• Rachel Elle Thomas Kilbert, MA-CF SLP, TSSLD

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, 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 17, 2025; 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.