Facesofexoticism

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

FACESOFEXOTICISM

Doing business as

Facesofexoticism

Practice address

22 Robinson Dr
Shirley, NY 11967-4117

Phone

(516) 983-3815

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Moshell Abriana Wright

Title

President

Phone

(631) 983-3815

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Facesofexoticism Doing business as

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1700426137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROBINSON DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674117",
            "telephone_number": "516-983-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ROBINSON DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674117",
            "telephone_number": "516-983-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACESOFEXOTICISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MOSHELL",
        "authorized_official_middle_name": "ABRIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-983-3815"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263113304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Facesofexoticism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy L Egger, LCSW
• Noha Aladdin Elfar, OTR/L
• Debbie-Ann Katheen Ellington-Tulloch, APRN
• Ebenezer Enin, RN
• Deborah Esposito, LPN
• Lisa Failla
• Marianne T Fassino, RN
• Jamie Fay
• Mary Louise Ferguson
• Valerie Marie Fernandez, DDS

• Health Maintenance Organization in Shirley, NY
• Providers in Shirley, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.