Shaamarr Gist

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

649 Bronx River Rd
Yonkers, NY 10704-1700

Phone

(914) 885-5093

NPI assigned

Dec 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poised Ondemand-Promoting Opulence in Social Emotional Development LLC

  • Case Management Agency
  • New York, NY
  • NPI 1073157681
  NPD (past)
• Poised Ondemand

  • Case Management Agency
  • Hartford, CT
  • NPI 1386188522
  NPD (past)

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1639717200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BRONX RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041700",
            "telephone_number": "914-885-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BRONX RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041700",
            "telephone_number": "914-885-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "SHAAMARR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Soap",
            "affiliation": "N",
            "address_1": "649 Bronx River Rd",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107041700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Ginelli, MD
• Antonella Celeste Gini, OTR/L
• John M Giordano, D.D.S
• Karen Marie Gironda, MSED
• Danny Girton, MD
• Stephen Gittens, CRPA, CASAC-T
• Edona Gjonbalaj
• Jozef Gjoni
• Frederick Glaser
• Glenn W. Callahan, D.P.M.

• Case Manager/Care Coordinator in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.