Shimunlevy Image Corp

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

SHIMUNLEVY IMAGE CORP

Practice address

14764 77TH Ave
Flushing, NY 11367-3124

Phone

(646) 410-1371

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Mercer

Title

Credentialing Specialist

Phone

(646) 410-1371

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerda Shimunova

  • Sonography Radiologic Technologist
  • Flushing, NY
  • NPI 1881298214
  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1942806708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14764 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673124",
            "telephone_number": "646-410-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14764 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673124",
            "telephone_number": "646-410-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMUNLEVY IMAGE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "646-410-1371"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pei-Yu Shih
• San Cheng Shih, M.D.
• Christine Shim, LCSW
• David Shim, D.M.D
• Israel Shimonov, RPA-C
• Ilana Shimunov, DDS, MPH
• Leora A Shimunov
• Gerda Shimunova
• Isabell Shimunova, PHARMD
• Margarita Shimunova, RN

• Sonography Radiologic Technologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Sonography Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.