Yelena Shalomova, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006368 Issued in NY

Practice address

8232 166TH St
Jamaica, NY 11432-1218

Phone

(718) 591-5942

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1851822860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8232 166TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321218",
            "telephone_number": "718-591-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8232 166TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321218",
            "telephone_number": "718-591-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALOMOVA",
        "first_name": "YELENA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard W Shakter, DDS
• Shalomah Ministry Inc
• Nataniel Shalomayev
• Boris Shalomov, CPED
• Edward Shalomov, DDS
• Nerik Shamalov
• Jeffrey Shamayev, DDS
• Sharon Shamoiel, DMD
• Shiva Shamtoub, DO
• Bruria Sharbat, OTR/L

• Physical Therapy Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.