Active NPI
Joseph Shimonov
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1851701148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 697580121
- Legal business name
- JOSEPH SHIMONOV
- Practice address
- 1839 50TH St
Brooklyn, NY 11204-1257 - Phone
- (718) 799-6610
- NPI assigned
- May 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Joseph Shimonov, MS.ED
- Title
- Special Education
- Phone
- (718) 799-6610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 697580121 | NY | Primary |
Addresses
Primary practice location
1839 50TH St
Brooklyn, NY 11204-1257
Mailing address
1839 50TH St
Brooklyn, NY 11204-1257
Phone (718) 799-6610
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399420800000",
"number": "1851701148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 50TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041257",
"telephone_number": "718-799-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 50TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041257",
"telephone_number": "718-799-6610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH SHIMONOV",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A",
"authorized_official_last_name": "SHIMONOV",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "SPECIAL EDUCATION",
"authorized_official_telephone_number": "718-799-6610",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "MS.ED"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "697580121",
"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 May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.