Shiny Jose D'Silva

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18358 Issued in NC

Practice address

300 Bay Shore Rd
North Babylon, NY 11703-2823

Phone

(631) 586-2700

Fax

(631) 586-3524

NPI assigned

Jul 4, 2012

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shiny Jose Gazenty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1477818516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT STE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032823",
            "telephone_number": "631-586-2700",
            "fax_number": "631-586-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd",
            "address_2": "Suite 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214819",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SILVA",
        "first_name": "SHINY",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-04",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18358",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHINY",
            "last_name": "GAZENTY",
            "middle_name": "JOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Anne Corwin
• Jennifer Cristiano, LCSW
• Michele Annette Cukes, R.N.
• Robert Ray Cummings III
• CVS Albany LLC (CVS Pharmacy #04452)
• Olivia Dallemand, LMHC
• Hana Dandona, RPA-C
• Allison Darling, NP
• Maria Esther Davila, CNP
• Susanna De Jesus, LMT

• Physical Therapist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.