Active NPI
Shirin Shaban
- Speech-Language Pathologist
- Great Neck, NY
National Provider Identifier
1508118738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 83 Old Mill Rd
Great Neck, NY 11023-1914 - Phone
- (516) 423-1876
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
83 Old Mill Rd
Great Neck, NY 11023-1914
Mailing address
83 Old Mill Rd
Great Neck, NY 11023-1914
Phone (516) 423-1876
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": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1508118738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 OLD MILL RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231914",
"telephone_number": "516-423-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 OLD MILL RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231914",
"telephone_number": "516-423-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABAN",
"first_name": "SHIRIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.