Active NPI
Stephen Barry Shapiro, MD
- Internal Medicine Physician
- Newburgh, NY
National Provider Identifier
1053424317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 134019
- Practice address
- 10 Little Britain Rd
Newburgh, NY 12550-5100 - Phone
- (845) 562-5450
- Fax
- (845) 562-9118
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 134019 | NY | Primary |
Addresses
Primary practice location
10 Little Britain Rd
Newburgh, NY 12550-5100
Mailing address
10 Little Britain Rd
Newburgh, NY 12550-5100
Phone (845) 562-5450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00505977 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000702 | NY | Practitioner - Internal Medicine | 8527182773 | Practice locations: Newburgh, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew R Resler Dr | Past | Accepting new patients | |
| TTP Physician Services, PLLC | Past | Accepting new patients | |
| Premier Medical Group of the Hudson Valley, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053424317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LITTLE BRITAIN RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505100",
"telephone_number": "845-562-5450",
"fax_number": "845-562-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LITTLE BRITAIN RD",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505100",
"telephone_number": "845-562-5450",
"fax_number": "845-562-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "STEPHEN",
"middle_name": "BARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "134019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00505977",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.