Organization Active NPI

Shop Beauty Bar LLC

  • Prosthetics Case Management
  • Saint Albans, NY
National Provider Identifier
1982560066
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
SHOP BEAUTY BAR LLC
Practice address
18802A Liberty Ave
Saint Albans, NY 11412-1049
Phone
(929) 385-5989
Fax
(205) 751-9233
NPI assigned
Jan 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Authorized official

Name
Ms. Shantell E JayNPI 1225994478
Title
Owner
Phone
(929) 385-5989

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
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

18802A Liberty Ave
Saint Albans, NY 11412-1049

Mailing address

21907 143Rd Rd
Laurelton, NY 11413-3114
Phone (929) 385-5989

National Provider Directory

National Provider Directory

Locations

18802A Liberty Ave
Saint Albans, NY 11412
Phone (929) 385-5989

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": "1767225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1982560066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21907 143RD RD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133114",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802A LIBERTY AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121049",
            "telephone_number": "929-385-5989",
            "fax_number": "205-751-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOP BEAUTY BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "SHANTELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-385-5989",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.