Mitsugu Shimmyo, MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

110050 Issued in NY

Legal business name

MITSUGU SHIMMYO, MD PC

Practice address

345 E 37TH St
Suite 203
New York, NY 10016-3256

Phone

(212) 867-5700

Fax

(212) 867-5731

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Naomi Hayashi, M.D.

Title

Ophthalmologist

Phone

(212) 867-5700

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul N Orloff, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1700973716
  NPD (past)
• Allison J Brucker, M.D.

  • Ophthalmology Physician
  • Phialdelphia, PA
  • NPI 1790718245
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1063604031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "212-867-5700",
            "fax_number": "212-867-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 37TH ST",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163256",
            "telephone_number": "212-867-5700",
            "fax_number": "212-867-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITSUGU SHIMMYO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "212-867-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "110050",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "228761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00196130",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W6L461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elizabeth Mitri, MS, CCC-SLP
• Danielle Mitroi
• Maria Alessandra Mitry
• John Mitsios, PH.D.
• Socrates Mitsos, BA
• Erika Kathleen Mitsui
• Hiroshi Mitsumoto, M.D.
• Jun Michael Mitsumoto, M.D., M.P.H.
• Vinod Pradeepkumar Mitta, M.D., M.P.H.
• Avni Mittal, MD

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.