Organization Active NPI

Learning Shore Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1689487621
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LEARNING SHORE INC
Practice address
1695 E 21St St Apt B6
Brooklyn, NY 11210-5024
Phone
(347) 236-3777
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Tetiana Pavlyshche, MSEDNPI 1689348492
Title
Ceo
Phone
(347) 236-3777

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1695 E 21St St Apt B6
Brooklyn, NY 11210-5024

Mailing address

1695 E 21St St Apt B6
Brooklyn, NY 11210-5024
Phone (347) 236-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1689487621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 E 21ST ST APT B6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105024",
            "telephone_number": "347-236-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 E 21ST ST APT B6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105024",
            "telephone_number": "347-236-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNING SHORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "PAVLYSHCHE",
        "authorized_official_first_name": "TETIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-236-3777",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.