Individual ProviderToni ShySocial WorkerBehavioral Health & Social Service ProvidersPractice Address370 Grand Ave, Suite 101, Englewood, NJ 07631-4154(516) 639-5582PECOS EnrollmentBased on the most recent information from CMS, provider Toni Shy is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1326583055Provider TypeIndividualFull NameShy, ToniCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/4/2017Last Updated1/4/2017Contact InformationPractice LocationPractice Address370 Grand Ave, Suite 101, Englewood, NJ 07631-4154Phone(516) 639-5582FaxUnlisted FaxMailing LocationMailing Address303 W Englewood Ave, Teaneck, NJ 07666-2851Phone(516) 639-5582FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC05709200New Jersey