Individual provider Active NPI

Irina Shvabskaya, M.S., ED

  • Specialist
  • Staten Island, NY
National Provider Identifier
1699104588
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
571999111 Issued in NY
Practice address
79 Woodcutters LN
Staten Island, NY 10306-6150
Phone
(347) 934-3582
NPI assigned
Nov 1, 2013
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 571999111 NY Primary

Addresses

Primary practice location

79 Woodcutters LN
Staten Island, NY 10306-6150

Mailing address

79 Woodcutters LN
Staten Island, NY 10306-6150
Phone (347) 934-3582

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
571999111NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1699104588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WOODCUTTERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066150",
            "telephone_number": "347-934-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WOODCUTTERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066150",
            "telephone_number": "347-934-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHVABSKAYA",
        "first_name": "IRINA",
        "credential": "M.S., ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "571999111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.