Ilean Sajid-Shah, MS. ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

626886 Issued in NY

Practice address

1376 Midland Ave
Apt. 610
Bronxville, NY 10708-6891

Phone

(914) 356-0961

NPI assigned

Jun 13, 2012

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1467714659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "address_2": "SUITE 302",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015247",
            "telephone_number": "914-576-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 MIDLAND AVE",
            "address_2": "APT. 610",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086891",
            "telephone_number": "914-356-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJID-SHAH",
        "first_name": "ILEAN",
        "credential": "MS. ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "626886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Elayne Rossman, CNM
• Anne Kierstie Rucci, CCC-SLP
• Nicholas Russo, PA-C
• Sofia Rustemi, MD
• Michael Francis Rynne, MS, CCC-SLP
• Debra Sales, CCC-SLP
• Anthony J Salvate, MD
• Nyishah Samaniego, RN
• Jamila Samuel, DPT
• Suzanne Sanchez, FNP

• Specialist in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.