Individual provider Active NPI

Emma Shifrin, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1063521276
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
213717 Issued in NY
Practice address
575 Ocean Pkwy
Brooklyn, NY 11218-5913
Phone
(718) 437-3131
Fax
(718) 437-3089
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 213717 NY Primary

Addresses

Primary practice location

575 Ocean Pkwy
Brooklyn, NY 11218-5913

Mailing address

4807 Surf Ave
Brooklyn, NY 11224-1138
Phone (718) 946-5707

Other identifiers 1

IdentifierTypeStateIssuer
02112687MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000982 NY Practitioner - Obstetrics/Gynecology 1850317967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
213717NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 12, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Dr Sharon Rais & Dr Melinda Mann LLP Past Accepting new patients
Physicians of University Hospital, PC Past Accepting new patients
MMC OB/GYN Hospital Specialist Past Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

348 Albany Ave
Brooklyn, NY 11213
Phone (718) 221-1123

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

685 Myrtle Ave
Brooklyn, NY 11205
Phone (718) 388-2000

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

2285 Victory Blvd
Staten Island, NY 10314
Phone (718) 226-3204

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: eshifrin67488@northwell.direct-ci.com
  • Direct secure messaging: emmashifrin@mai.allscriptsdirect.net
  • Direct secure messaging: emma.shifrin@nyb016.digichart.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1063521276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241138",
            "telephone_number": "718-946-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185913",
            "telephone_number": "718-437-3131",
            "fax_number": "718-437-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRIN",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "213717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02112687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.