Joseph T Shen, M.D.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

187122-1 Issued in NY

Practice address

14 Vanderventer Ave
Suite 130-138
Port Washington, NY 11050-3737

Phone

(516) 883-3383

Fax

(516) 883-5812

NPI assigned

Feb 26, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physician Services

  • Medical Toxicology (Preventive Medicine) Physician
  • Port Washington, NY
  • NPI 1427188473
  Authorized official Same address or phone

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003942020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "SUITE 130-138",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-883-3383",
            "fax_number": "516-883-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "SUITE 130-138",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-883-3383",
            "fax_number": "516-883-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "187122-1",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "187122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sassan Shahmanesh, MD
• Sarah Shapiro, NP
• Anita E Shashoua, DDS
• Edward Alan Sheen, PHARM D
• Lauren Sheen
• Marsha Sherman
• Shannon Scott Shields, NBC-HWC
• Toru Shoji, M.D.
• Farzad Shokri-Tabibzadeh, M.D.
• Michael Shwartzstein, D.C.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.