Anna Shostak Medical PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

223079 Issued in NY

Legal business name

ANNA SHOSTAK MEDICAL PC

Practice address

2753 Coney Island Ave
Brooklyn, NY 11235-5015

Phone

(718) 645-9236

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Shoatk, M.D.

Title

President

Phone

(718) 645-9236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Shostak, MD

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1447275730
  Medicare reassignment NPD

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1053572453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231239",
            "telephone_number": "718-645-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355015",
            "telephone_number": "718-645-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SHOSTAK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SHOATK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-645-9236",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "223079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna K. Occupational Therapist PC (Sensory Freeway)
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• Anna N Krol Physician PC
• Anna S Krayn PHD PC
• Anna Shapiro
• Anna Suponya Medical Practice, PLLC
• Anna Suponya, MD, PC
• Anna Villani LCSW PC
• Annabel Counseling Services LCSW PLLC
• Annacup Inc

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.