Individual provider Active NPI

Paul Shoyinka, DPT

  • Pediatric Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1992959159
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
023941 Issued in NY
Practice address
3528 80TH St Apt 52
Jackson Heights, NY 11372-4972
Phone
(347) 724-0141
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 023941 NY Primary

Addresses

Primary practice location

3528 80TH St Apt 52
Jackson Heights, NY 11372-4972

Mailing address

3528 80TH St Apt 52
Jackson Heights, NY 11372-4972
Phone (347) 724-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
023941NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1992959159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 80TH ST APT 52",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724972",
            "telephone_number": "347-724-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 80TH ST APT 52",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724972",
            "telephone_number": "347-724-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOYINKA",
        "first_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "023941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.