Susana Siles

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

9777 Queens Blvd PH
Rego Park, NY 11374-3300

Phone

(718) 830-3705

NPI assigned

Jun 7, 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

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1619239464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 ALBERT RD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172708",
            "telephone_number": "718-808-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD PH",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743300",
            "telephone_number": "718-830-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILES",
        "first_name": "SUSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Shnaider, MA, CCC-SLP, TSSLD
• Marina Shvets, DPM
• Michael Yuan Shy, M.D. PH.D.
• Florrielle Bacane Sia
• Sheow Yun Sie, BCBA
• Irina Simidchieva, LCSW
• Sinai Portable X-Ray, LLC
• Sinai Portable X-Ray, LLC
• Kishauna Sinclair, LCSW
• Rodrigo Jaca Sipalay, PT

• Early Intervention Provider Agency in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.