Active NPI
Shira Burnstein M.D. PLLC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1043395072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 169174
- Legal business name
- SHIRA BURNSTEIN M.D. PLLC
- Practice address
- 2044 Ocean Ave
Suite A8
Brooklyn, NY 11230-7328 - Phone
- (718) 998-1700
- Fax
- (718) 377-9574
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shira Burnstein, MD
- Title
- Physician
- Phone
- (718) 998-1700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 169174 | NY | Primary |
Addresses
Primary practice location
2044 Ocean Ave
Suite A8
Brooklyn, NY 11230-7328
Mailing address
PO Box 300703
Brooklyn, NY 11230-0703
Phone (718) 998-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01850980 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2044 Ocean Ave
Ste B2
Brooklyn, NY 11230
Phone (718) 998-1700
2044 Ocean Ave
Ste A8
Brooklyn, NY 11230
Phone (718) 258-7474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1518125764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1043395072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300703",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112300703",
"telephone_number": "718-998-1700",
"fax_number": "718-377-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2044 OCEAN AVE",
"address_2": "SUITE A8",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307328",
"telephone_number": "718-998-1700",
"fax_number": "718-377-9574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRA BURNSTEIN M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "BURNSTEIN",
"authorized_official_first_name": "SHIRA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-998-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "169174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01850980",
"state": "NY"
}
],
"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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.