NPIMap

Organization Active NPI

Omer Corp.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1871839639
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
017152-1 Issued in NY
Legal business name
OMER CORP.
Practice address
684 83Rd St
#2
Brooklyn, NY 11228-2816
Phone
(347) 993-1270
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Mr. Usama Shappan, P.TNPI 1760637128
Title
Ceo
Phone
(347) 993-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 017152-1 NY Primary

Addresses

Primary practice location

684 83Rd St
#2
Brooklyn, NY 11228-2816

Mailing address

684 83Rd St
#2
Brooklyn, NY 11228-2816
Phone (347) 993-1270

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1871839639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 83RD ST",
            "address_2": "#2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282816",
            "telephone_number": "347-993-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 83RD ST",
            "address_2": "#2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282816",
            "telephone_number": "347-993-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAPPAN",
        "authorized_official_first_name": "USAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-993-1270",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "017152-1",
            "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 Dec 26, 2012; 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.