Active NPI
Natalia Sevastyanenko
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1669832598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 29TH STR and 450 E.
Neuroscience Institute, 9TH Floor
New York, NY 10016 - Phone
- (646) 719-3587
- NPI assigned
- Mar 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
29TH STR and 450 E.
Neuroscience Institute, 9TH Floor
New York, NY 10016
Mailing address
29TH STR and 450 E.
Neuroscience Institute, 9TH Floor
New York, NY 10016
Phone (646) 719-3587
Other names 1
- Natalia Shoham
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": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1669832598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29TH STR AND 450 E.",
"address_2": "NEUROSCIENCE INSTITUTE, 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "646-719-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29TH STR AND 450 E.",
"address_2": "NEUROSCIENCE INSTITUTE, 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "646-719-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVASTYANENKO",
"first_name": "NATALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIA",
"last_name": "SHOHAM",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.