Provider Demographics
NPI:1861967739
Name:NJOYTEACH LLC
Entity type:Organization
Organization Name:NJOYTEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. SPED/TEACHER
Authorized Official - Prefix:MR
Authorized Official - First Name:NERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMALOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-515-0149
Mailing Address - Street 1:18616 80TH DR
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5805
Mailing Address - Country:US
Mailing Address - Phone:917-515-0149
Mailing Address - Fax:
Practice Address - Street 1:18616 80TH DR
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5805
Practice Address - Country:US
Practice Address - Phone:917-515-0149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty