Individual provider Active NPI

Shelby Leigh Platia

  • Audiologist
  • New York, NY
National Provider Identifier
1083238505
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1539546 Issued in NY
Practice address
50 Broadway
New York, NY 10004-1607
Phone
(917) 305-7700
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1539546 NY Primary

Addresses

Primary practice location

50 Broadway
New York, NY 10004-1607

Mailing address

50 Broadway
New York, NY 10004-1607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008000941 NY Practitioner - Qualified Audiologist 0648678441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Broadway
FL 6
New York, NY 10004-3810
Phone (917) 305-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1539546NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing and Communication Audiologist CurrentSince Aug 1, 2021 Accepting new patients
Center for Hearing and Communication Audiologist CurrentSince Aug 1, 2021 Accepting new patients

Locations

50 Broadway
New York, NY 10004
Phone (212) 254-0333

50 Broadway
Fl 6
New York, NY 10004
Phone (917) 305-7700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1083238505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041607",
            "telephone_number": "917-305-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATIA",
        "first_name": "SHELBY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1539546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.