Organization Active NPI

Shira Burnstein M.D. PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043395072
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
169174 Issued in NY
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

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Shira Burnstein, MDNPI 1518125764
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01850980MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000091 NY Part B Supplier - Clinic/Group Practice 9638243900 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.