Active NPI
Julius Shea McAllister, DIRECT SUPPORT
- Home Health Aide
- Marlboro, NJ
National Provider Identifier
1417592270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1 Damascus Dr
Marlboro, NJ 07746-1949 - Phone
- (917) 889-5161
- NPI assigned
- Nov 15, 2019
- Last updated
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
1 Damascus Dr
Marlboro, NJ 07746-1949
Mailing address
1 Damascus Dr
Marlboro, NJ 07746-1949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991881 | Other | PRIVATE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sheamcallister@yahoo.com | Direct | |
| CONNECT URL | home |
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": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1417592270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DAMASCUS DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DAMASCUS DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461949",
"telephone_number": "917-889-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALLISTER",
"first_name": "JULIUS",
"middle_name": "SHEA",
"credential": "DIRECT SUPPORT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "991881",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sheamcallister@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1 Damascus Dr",
"city": "Marlboro",
"state": "NJ",
"country_code": "US",
"postal_code": "077461949",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "home",
"affiliation": "N",
"address_1": "1 Damascus Dr",
"city": "Marlboro",
"state": "NJ",
"country_code": "US",
"postal_code": "077461949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.