Individual provider Active NPI

Lenore Shamah, RD

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1033475157
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1043729 Issued in NY
Practice address
5205 Church Ave
Brooklyn, NY 11203-3513
Phone
(718) 688-8000
Fax
(718) 688-8077
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1043729 NY Primary

Addresses

Primary practice location

5205 Church Ave
Brooklyn, NY 11203-3513

Mailing address

5205 Church Ave
Brooklyn, NY 11203-3513
Phone (718) 758-4065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011598 NY Practitioner - Registered Dietitian Or Nutrition Professional 0547574816 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kings Medical Family Practice, P.C.Group PAC ID 4082989645, 18 clinicians

Practice addresses (Care Compare)

9525 Church Ave
Brooklyn, NY 11212-2433
Phone (718) 650-5551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043729NYMDRegistered Dietitian
007676NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Medical Family Practice PC CurrentSince Aug 2, 2017 Accepting new patients
Ag Urgent Care, P.C. CurrentSince Dec 1, 2022 Accepting new patients

Locations

4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120

9525 Church Ave
Brooklyn, NY 11212
Phone (718) 513-6178

1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1033475157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033513",
            "telephone_number": "718-758-4065",
            "fax_number": "646-964-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033513",
            "telephone_number": "718-688-8000",
            "fax_number": "718-688-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAH",
        "first_name": "LENORE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1043729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.