SHOBIN OOMMEN PHYSICIAN PC NPI 1275853129

NPI Information

  • NPI: 1275853129
  • Provider Name: SHOBIN OOMMEN PHYSICIAN, PC
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Address: 35 PILGRIM ST
    NEW HYDE PARK, NY
    ZIP 11040
  • Phone: (917) 797-4421

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NPI Details

SHOBIN OOMMEN PHYSICIAN, PC is a behavior analyst in New Hyde Park, NY. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SHOBIN OOMMEN PHYSICIAN, PC NPI is 1275853129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 PILGRIM ST
NEW HYDE PARK, NY
ZIP 11040-140
Phone: (917) 797-4421

The provider's authorized official is Shobin Oommen .
The authorized official title is Medical Doctor and has the following contact phone number (917) 797-4421.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst246228NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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