Active NPI
Shop Beauty LLC
- Customized Equipment (DME)
- Saint Albans, NY
National Provider Identifier
1487599064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SHOP BEAUTY LLC
- Practice address
- 18802 Liberty Ave
Saint Albans, NY 11412-1049 - Phone
- (929) 385-5989
- Fax
- (205) 751-9233
- NPI assigned
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shantell E Jay
- Title
- Owner
- Phone
- (929) 385-5989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
18802 Liberty Ave
Saint Albans, NY 11412-1049
Mailing address
18802 Liberty Ave
Saint Albans, NY 11412-1049
Phone (929) 385-5989
National Provider Directory
National Provider DirectoryLocations
18802 Liberty Ave
Saint Albans, NY 11412
Phone (929) 385-5989
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Laurelton, NY
- NPI 1225994478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1487599064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18802 LIBERTY AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121049",
"telephone_number": "929-385-5989",
"fax_number": "205-751-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18802 LIBERTY AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121049",
"telephone_number": "929-385-5989",
"fax_number": "205-751-9233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOP BEAUTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "JAY",
"authorized_official_first_name": "SHANTELL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-385-5989"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.