Individual provider Active NPI

Victor Zhihua Shi, M.S. SP.ED.

  • Developmentally Disabled Services Day Training Agency
  • Oakland Gardens, NY
National Provider Identifier
1699924753
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1260712 Issued in NY
Practice address
6722 218TH St
Apt. B
Oakland Gardens, NY 11364-2609
Phone
(917) 586-4988
Fax
(718) 229-2825
NPI assigned
Sep 14, 2008
Last updated
Oct 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Developmentally Disabled Services Day Training Agency 251C00000X 1260712 NY Primary

Addresses

Primary practice location

6722 218TH St
Apt. B
Oakland Gardens, NY 11364-2609

Mailing address

6722 218TH St
Apt. B
Oakland Gardens, NY 11364-2609
Phone (917) 586-4988

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
1260712NYMDDevelopmentally Disabled Services Day Training Agency

NPI Registry JSON

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

{
    "created_epoch": "1221350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223769600000",
    "number": "1699924753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 218TH ST",
            "address_2": "APT. B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642609",
            "telephone_number": "917-586-4988",
            "fax_number": "718-229-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 218TH ST",
            "address_2": "APT. B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642609",
            "telephone_number": "917-586-4988",
            "fax_number": "718-229-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "VICTOR",
        "middle_name": "ZHIHUA",
        "name_prefix": "Mr.",
        "credential": "M.S. SP.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-14",
        "last_updated": "2008-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "1260712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; 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.