Organization Active NPI

Shasta Health, P.C.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1033963087
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SHASTA HEALTH, P.C.
Practice address
387 Park Ave S FL 9
New York, NY 10016-8810
Phone
(646) 580-0651
NPI assigned
Apr 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. Julie Brown, MD
Title
Treasurer
Phone
(646) 580-0651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

387 Park Ave S FL 9
New York, NY 10016-8810

Mailing address

387 Park Ave S FL 9
New York, NY 10016-8810
Phone (646) 580-0651

National Provider Directory

National Provider Directory

Locations

387 Park Ave S
Fl 9
New York, NY 10016
Phone (646) 580-0651

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1033963087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 PARK AVE S FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168810",
            "telephone_number": "646-580-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 PARK AVE S FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168810",
            "telephone_number": "646-580-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "646-580-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.